HomeMy WebLinkAboutPermit 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
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SITE ADDRESS: 1028 LOCHA VEN AVE
ASSESSOR'S PARCEL NO.: 1703272207510
Springfield
TYPE OF WORK: Heating System
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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
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# 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
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-- ::;:~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.
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Owner or ~Lrs Signature
r-:. Jr ~ cy
Date
Paee 2 of2
225 Fifth Street
Spfing~eld, Oregon 97477
541-726-3759 Phone
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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