HomeMy WebLinkAboutPermit Mechanical 2003-8-5
. CITY OF :St'Kll~\.d<lJ<..LU
Building/Combination Permit
PERMIT NO: COM2003-00703
ISSUED: 08/05/2003
APPLIED: 08/05/2003
EXPIRES: 02/05/2004
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5936 LILAC LN
ASSESSOR'S PARCEL NO:: 1802032303200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump
Contractor Type
Mechanical
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COMFORT FL()\\..."~~,~\c,~\:)~\ Qy'-'?-~ 460
\1(\BUibDI~G INFORMATION I
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i" # of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Owner: CLARK A VERY W
Address: 5936 LILAC LN SPRINGFIELD OR 97478
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
Residential
Expiration Date
06/27/2005
Phone
541-726-0100
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
Paeelof2
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
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
l.Ff'f'S PlIid I
Amount Paid
Date Paid
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00703
ISSUED: 08/05/2003
APPLIED: 08/05/2003
EXPIRES: 02/05/2004
VALUE:
Receipt Number
1200200000000001900
1200200000000001900
1200200000000001900
1200200000000001900
1200200000000001900
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
$12.00
$33.00
8/5/03
8/5/03
8/5/03
8/5/03
8/5/03
$62.65
I Plan Reviews I
I Rf'onirf'd fnmect;ons I
I Rough Mechanical: Prior to Cover
2 Final Mechanical: Wben all mechanical work is complete.
By signature, I state and agree, tbat 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 the front of the property, and the approved set of plans will remain on the site at all
times during constructio
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Owner or Contractors Si nature
Pa!!e 2 of2
c:f?- S- -c?5
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00703
COM2003-00703
COM2003-00703
COM2003-00703
COM2003.00703
Payments:
Type of Payment
Check
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Receipt #: 1200200000000001900
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt 1
Development Services Department :
Public Works Department .'
Date: 08/05/2003
2:19:28PM
Item Total:
Amount Paid
3,15
4.50
12.00
33.00
10.00
$62.65
How Received
In Person
Payment Tota.:
Amount Paid
$62.65
$62.65
.
.