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Home My WebLink AboutPermit Mechanical 2003-11-6 . . \-11 :f OF SPRlr~tJt<lJj,L1J ., ~' Building/Combination Permit PERMIT NO: COM2003-01123 ISSUED: 11/06/2003 APPLIED: 11/06/2003 EXPIRES: 05/0612004 VALUE: Status. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4012 JASPER RD ASSESSOR'S PARCEL NO.: 1802061407700 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Instan heat pump, air handler and ductwork New Residential Owner: ROBERT LEBKOWSKY Address: 4012 JASPER RD SPRINGFIELD OR 97478 Phone Number: 541-741-2303 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW License 460 BUILDING INFORMATION' Expiration Date 06/27/2005 Phone 541-726-0100 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq F~st Floor: Type of Heat:' :t. ~1V1I nd Floor: Water Type: \r ,VI ~ asement: Range Type: 't."j..'(\\l-'t. 't.\l-~\' t Garage/Carport Energy~ath: ~l>-\.\. ,'(o.\r:" '( ~'t.'V Ft Other: .\~\\\:. ;,~\\ 'O,\'V't.\l- ~l>-~'V\j Impervious Surface Area: ... "I'''.--;} \\\" '0:. II: . H""').' _.. ~ ~ _. \. ,..... I DEVELOPMElS1F'~roRMAnoN I . I I \ " t'~ J~':l\\..~ 'V~ _. over~~~: # Str ,et Trees Rqd: Paved Drive Rqd: REQUIRED PARKING R-3 SETBACKS "1 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: % of Lot Coverage: eS 'IOU to n la'tJ tea.U\t n Utili\'! _...r'lrAaO . .r'lrAaO ..-' I PUBLIC IMPROVE~:,,:,,;-,~~,t)pte~:~s~';u\es ate ;;2.00 \U..~. centet. ."bO,o.f\ I tilicatiOn _OO.~.Wwiil~,;ry~~:\\'18 tules \0 95'l-00~ " ,~r.optes ..,,,,,hone n o,o.f\ ma'l obtDown~gut~(I>ram~:. tion 0090. '(oil centet. ~N 'Utill\'! Not\I\Ca calling t\'18 the Otegon 332-2344). "Ilmbetlot. is 1-BOO-' I' C,pf'\,Pf ~ Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description -Mechanical1ssnance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . . CITY VI< ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01123 ISSUED: 11/06/2003 APPLIED: 11/06/2003 EXPIRES: 05/06/2004 VALUE: I F..... Paid' Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 11/6/03 11/6/03 11/6/03 11/6/03 11/6/03 11/6103 1200200000000002429 1200200000000002429 1200200000000002429 1200200000000002429 1200200000000002429 1200200000000002429 $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..ouir..d In.o..ctinn.' 1 Rough Mechanical: Prior to Cover 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 certify that all information hereou is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described 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 compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all ';~&;cl""\\_QO_~J1r \1 h (o~ Owner or contra0ignature Date I Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01123 COM2003-0 1123 COM2003-0 1123 COM2003-0 1123 COM2003-0 1123 COM2003-0 1123 Payments: Type of Payment Check ~;..~'IUN""."~ ,I;I...,!'LD'."'''.''.' ...,"".....'..!..' '''~. , -,',~ ,: Receipt #: 1200200000000002429 Description- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 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 Department Public Works Department Date: 11/06/2003 9:15:24AM Amount Paid Item Total: 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 How Received In Person Payment Total: Amount Paid . $62,65 $62.65 .