HomeMy WebLinkAboutPermit Building 2004-8-16
'.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01014
ISSUED: 08/16/2004
APPLIED: 08/16/2004
EXPIRES: 02/16/2005
VALUE:
Status
Issued
SITE ADDRESS: 2150 LAURA ST SPACE 66
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Manufactured Home In
Park
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Change air handler, Heat pump
Owner: MIKE KRAMER
Address: 2150 LAURA ST SPRINGFIELD OR 97477
Phone Number: 726-1482
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
bUILulNG INFORMATION I
Expiration Date
06/27/2005
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Stor~ Sewer Av.~i,IrBW Oregon law requires you to
Spec.allntifJalllA. d t d by the Oregon Utility
tollow rules a op e
Notes' Notification Center. Those rules are set forth NOTICE: L EXPIRE IF THE WORK
. In OAR 952-001-0010 through O~R_ 9.~~:~~~: THIS PER~I:! ~~~~o ,I.II!> PERMIT IS NOT
UU\lU. TOU IlI<iY VUI"''' , VVI",w.I. :..- . - . - . ; IJ I MvnlL.~V _..- NOONl:U run
calling the center. (Note: the t~I<Y~Rralion Descriotion ,IOMMENCED OR IS "-B"-
number for the Oregon Utility NI...'..__. - {l,NV 160 O"-V PERIOD.
. . C...ntAt is 1.RQQ-332-234t,$.Per Sq Ft Square Footage
DescnptlOnl'Ylle 1II cohSlrucfion It' I' B'd A t Value
or mu Ip ler or I moun
Downspoutsffirains:
Date Calculated
Total Value of Project
Paeelof2
'.
Status
Issued
225 Fifth Street, Springfield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanicallssnance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
I Fees Paid'
Amount Paid
Date Paid
. Lll l' OF ~rKll'lljlilJ<.,LD
Building/Combination Permit
PERMIT NO: COM2004-01014
ISSUED: 08/1612004
APPLIED: 08/1612004
EXPIRES: 02/16/2005
VALUE:
Receipt Number
1200400000000001219
1200400000000001219
1200400000000001219
1200400000000001219
1200400000000001219
1200400000000001219
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.
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
$62.65
I Plan Reviews I
I Rellw'rerl I nsnections I
11..1111
Final Mechanical: When aU mechanical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon 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.
1 further agree to ensure that all required inspections are reqnested 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
times during construction.
OwG;r" ..~~" ,;,"W"
Paee 2 of2
21/6/olr
Date
225 Fifth Street
: Springfield, Oregon 97477
541-726-3759 Phone
.
af~~IN'!"-'~.__, - J.'
Iar. I
-. I
. ~_-..- - -- .
II/l,y of Springfield Official Receipt
_elopment Services Department
Public Works Department
'.
RECEIPT #:
1200400000000001219
Date: 08/16/2004
12:08:29PM
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
4.50
8.00
12.00
25.00
10.00
3.15
$62.65
Joh/Journal Number
COM2004-0 10 14
COM2004-01014
COM2004-01014
COM2004-01014
COM2004-01014
COM2004-01014
Description
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
Amount Paid
Check
COMFORT FLOW HEATING
CO
dim
26885
In Person
$62.65
Payment Total:
$62.65
8/1612004
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