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Home My WebLink AboutPermit Mechanical 2004-6-11 . CITY OF SPRINu1<lJ!,LD Building/Combination Permit PERMIT NO: COM2004-00660 ISSUED: 06/11/2004 APPLIED: 06/07/2004 EXPIRES: 12/11/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 1028 LOCHA VEN AVE ASSESSOR'S PARCEL NO.: 1703272207510 Springfield TYPE OF WORK: Heating System ,)-~ ~ t\~" (~f'\ I PUBLIC IMPROVEMENTS I .~~\~~ ~i':)~~~~\.~'4 Si~~I~~ ~~1.\~ A ~\~\. ; ~;~~~~~'p~~i~~~~\\.Q\\ ~~\ \.\\f\'O~ ~'O\A'I-~ \.~\... .t.. ~~\. ~'O\j\" TYPE OF USE: PROJECT DESCRIPTION: Install air handler and heat pump Owner: PAT GAUT Address: 1028 LOCRA VEN AVE SPRINGFIELD OR 97477 , , CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84164 , BUlLDlNmINFORMATION I ~ I \\~\~\ # of Units: .-~~r~il!~ Primary occupancY~Group: ~ ~~ ~\l\9 :-~g~~.$\'i:ture Secondary Occupancy . ~:~~~ 0 l!6fV'f Primary Constructiun_~.!/~:""'~ ~'~:. ~e Secondary Constru~~~.Q\)\O d)9 ~I!~\O~ # of Bedrooms: ~~ -"""f\ ~cPJ~".' Wl\P~'fri: ~ur""~"-'..MlIC..,;.,,(\ 1\1 Building: n/a _"^. ..... dI"-g.~_. ,.". -- ::;:~v:l~LOPMENTINFORMATlON I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pal!elof2 New Residential Phone Number: 541-520-0417 Expiration Date 06/25/2007 Phone 541-345-2838 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax. 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . . CITY VI< ~rKll~uNJ!,LD ' Building/Combination Permit PERMIT NO: COM2004-00660 ISSUED: 06/11/2004 APPLIED: 06/07/2004 EXPIRES: 12/11/2004 VALUE: I Fp.I(~ P~;,II Amount Paid Date Paid Receipt Number 1200400000000000889 1200400000000000889 1200400000000000889 1200400000000000889 1200400000000000889 1200400000000000889 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 $62.65 I Plan Reviews , / To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. l.Rp.ouired Insnp.~tjnw Rough Mechanical: Prior to Cover 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 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. 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 tbe front of the property, and the approved set of plans will remain on the site at all f es during construction. ( J ~l/~/ Owner or ~Lrs Signature r-:. Jr ~ cy Date Paee 2 of2 225 Fifth Street Spfing~eld, Oregon 97477 541-726-3759 Phone . .~~~.I~~~ .'_."._ 1.. Wir' i ~ ~, . --~ ! .J Job/JouroaJ Number COM2004-00660 COM2004-00660 COM2004-00660 COM2004.00660 COM2004-00660 COM2004.00660 Payments: Type of Payment Check 6/11/2004 RECEIPT #: JiIilY of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000000889 Date: 06/11/2004 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump MinimunilAdjustment Mechanical -Mechanical issuance Fee- Paid By HOME COMFORT Received By djb Page 1 of1 Item Totai: Check Number Authorization Batch Number Number How Received 11282 In Person Payment Total: lO:30:59AM Amount Due 3,15 4.50 8,00 12,00 25,00 10,00 $62.65 Amount Paid $62,65 $62.65