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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 ~~;~ ~-'-_.""_....: c' .~ - 1 , ~.- . - . -".,,-~,.~ . 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 . .