HomeMy WebLinkAboutPermit Mechanical 2003-11-26
.
. _CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01184
ISSUED: 11/26/2003
APPLIED: II/26/2003
EXPIRES: OS/26/2004
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4288 COLE WAY
ASSESSOR'S PARCEL NO.: 1802052409000
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: GLENN BOSSHARDT
Address: 4288 COLE WAY SPRINGFIELD OR 97478
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Phone Number: 541-747-8199
, CONTRACTOR INFORMATION I
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/2712005
Phone
541-726-0100
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
I DEVELOPMENT.INEORMATION I
f\ \Cj...... . ~. On v.....-...
ON..orego, \\\1 l\1e oreg set loP
"liE-NIl ~clopte(Overlay..Wst: :;.re 5"-00
,... \eS C,I. __', ,....,c.e I.... _ ~ ':\ e.
\OIIOW r\J C ..,teC #'Street,TreeslRqd: \eS \
. 1"\ e,. .""'1"....., v." ..." fU
"ti\iCatlo" 0'\ _001Paved-DnveLRqiI:- ne
....0 952.-0 ~In COpl"": n IA\ep\1o
In Op..R . {'(\a'1 obt'% o~!:!'!'.C>overage:licatiOn
0090. 'lo\Jcen\er. ~\ \JtiliW Null
_11100 \\1e ""AOOn. _ "",All).
;~{'(\be.r ~~'I.P.U-Bt.IC'IMPROV\tMil~iF:S:1
THIS PERMIT ~'~~I~>1iYIIft IF THE WORK
AUTHORIZED lD,\\~~;fMk'lD711liU:'IT IS NOT
COMMENCED OR IS A8ANDONED FOR
ANY 180 DAY PERIOD.
REQUIRED PARKING
Total:
Handicapped:
Compact:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Total Value of Project
Paee I of2
.
. CITY OF 1:)rK.lj"H..Jt<l~LD
Building/Combination Permit
PERMIT NO: COM2003-0II84
ISSUED: II/26/2003
APPLIED: 11/26/2003
EXPIRES: OS/26/2004
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.F"'" Paid'
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustmcnt Mechanical
Amount Paid
Date Paid
Receipt Numbcr
$10.00
$4.50
$3.15
$12.00
$33.00
11/26/03
11/26/03
11/26/03
11/26/03
11/26/03
1200200000000002518
1200200000000002518
1200200000000002518
1200200000000002518
1200200000000002518
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a,m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I R"rnuired Ir,.rlecfo, s ,
Y1i_1I11'..II....11
1 Rough Mechanical: Prior to Covcr
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby ccrtify that all
information hereon is true and correct, and I further certify that any and all work performed shall be donc In accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to thc work dcscribed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliancc with ORS 701.005 will bc uscd on this projcct.
I further agree to cnsure that 'all required inspections are requested at the proper timc, that each address is rcadablc from thc
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the sitc at all
tires during construction.
\ r1 '
o~~:r Co ~Signature Da~! /1.. b /03
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01184
COM2003-01184
COM2003-01184
COM2003-01184
COM2003-01184
Payments:
Type of Payment
Check
wa:~~..c~.~"!..BU>..~' c_c._ '.'. ..
~.... .
h... . _ .
-' l!
,
-,.., ., ."-.-.
Receipt #: 1200200000000002518
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Received By
djb
Check Number
Batch Number Authorization Number
...::::::
City of Springfield Official Receipt
Development Services Departme~t
Public Works Department
I
Date: 11/26/2003 9:29:26AM
Amount Paid
3.15
4.50
12.00
33.00
10.00
$62.65
Item Total:
How Received
Amount Paid
In Person
Payment Total:
$62.65
$62.65
.
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