HomeMy WebLinkAboutPermit Mechanical 2003-8-25
.
Status
Issued
*
. Ll1 t OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00821
ISSUED: 08/25/2003
APPLIED: 08/25/2003
EXPIRES: 02/25/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 3
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install electric furnace and heat pump
Owner: HEAD ELLA B
Address: 2150 LAURA ST #3 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/2212005
Phone
541-726-7654
VN
BUILDING INFORMATION I ' O\l \0
\lllaS'! , ,,'Ii.''!
# of Stories: . a:\j'lle~ ol'llilt' ~ize:
Height of Structut,~oll I .....a oleg leSq"'lFi'i~j Floor:
-"U' -''0'' ", \ sa: ,^'oV
Ty~ecoli.\lF1U:' 09\a'-' " a IU e. p..~S_q:F( 2~<t Floor:
~l'ter Typ.e; 0.0 e' ,\'IOS . .,,\'1 0 .,SqlFt'1Jasement:
",,~.'" '" ,- au':t \.\,... e
~eIType:Gel\ "",\)\\'11 nlaS 0\ S!I(F.t:C;~rage/Carport
3.V' h, ,,, 4. VV 0" \€'C Y ... n\.
EnergyJPlith:.\)Q " .....dill C a' ."a Sg'J<:t;Other:
~O\" 9"''' ov'v~, \ " Nr..\""
,Op..~ {l'e.'! 'al. ~~o . '\i\i\'! 'Impervious Surface Area:
.1'\ -.lnu ^o1'\' ^" v ^"I\.LlI'
I DEVELOPMEN\f.IN'Fi>RMATJONI'I'Jj<--
""0"" \e"-
lIU'" Gall
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
# of Bliildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPF.~VEMENTS t \?r. \r i\'\r. 'l'JO~1
t\~\~'p:~~li S\'\~'t? {~I~Wt~~:
\Ui\,\Q?\lr.O U~? \S tI.'Otl.I&~~~outslDrains:
CQ~~r.~~~ 1'r.?IQ\).
tI.~'{ ''00
Notes:
I Valuati?n DescriJ)tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal!e I of2
_r;.:..'l<l~" .
~
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00821
ISSUED: 08/25/2003
APPLIED: 08/25/2003
EXPIRES: 02/25/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.~ P,,.ill .
Fee Description
-Mechanical Issuance Fee-
+ 1 0% Administrative Fee
+ 7% State Surcharge
Furnace - up to 1 00,000 htu
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
8/25/03
8/25/03
8/25/03
8/25/03
8/25/03
8/25/03
1200200000000002021
1200200000000002021
1200200000000002021
1200200000000002021
1200200000000002021
1200200000000002021
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.
IR,,"uirp.lI~
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefu!ly 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 sha!l 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 ofany 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 tVJ./iited at the front of the property, and the approved s10f Pia/will remain on the site at all
timrl~SlC~ . (L rt / Zs /ZoO}
'-/"' J' ,
Owner or Con actors Signature Date /
Pa!!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~;~
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c' .~ - 1
,
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Job/Journal Number
COM2003-0082I
COM2003-0082I
COM2003-0082I
COM2003-0082I
COM2003-0082I
COM2003-00821
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2003-0082I
COM2003-0082I
COM2003-0082I
COM2003-0082I
COM2003-00821
COM2003-00821
Payments:
Type of Payment
Cash
Change
Receipt #: 1200200000000002021
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum!Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
AUTOMATIC HEAT
AUTOMATIC HEAT
Received By
djb
djb
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
AUTOMATIC HEAT
AUTOMATIC HEAT
Received By
djb
djb
l:heck Number
Batch Number AuthorizatIon Number
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departme~t
Public Works Department
Date: 08/25/2003 2:55:45PM
Amount Paid
Item Total:
3.15
4.50
12,00
12,00
21.00
10,00
$62.65
How Received
In Person
in Person
Payment Total:
.
Amount Paid
$63.00
($0.35)
$62.65
Amount Paid
Item Total:
3,15
4,50
12.00
12.00
21.00
10.00
$62.65
How Received
In Person
In Person
Payment Total:
Amount Paid
$63,00
($0.35)
$62.65
.
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