HomeMy WebLinkAboutPermit Mechanical 2003-7-10
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Status
Issued
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00616
ISSUED: 07/10/2003
APPLIED: 07/10/2003
EXPIRES: 01/1012004
VALUE:
,1
,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2568 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251404900
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Alteration
Residential
PROJECT DESCRIPTION: Install new heat pump.
Owner: FOSS ALLAN & RUTH E
Address: 2568 MAlA LOOP SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor
HOME COMF,:Q~:!-HEATING & AIR
FOSS ALL"Nl.~~TH E
~4~ "~~ BUILDING INFORMATION I
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# of Buildings: ~ q,<i.; ~ # of Stories:
Primary Occupancy Group: '* .J!? ~ Height of Structure
Secondary Occupancy Gr~~ ~"f Type of Heat:
Primary Construction TYPi;:p "f ':N Water Type:
Secondary Constructi~"t"~e~ ~ Range Type:
# of Bedrooms: ~. # ~ 'N <::s ($ Energy Path:
~ q,<i.; ~ ?:f ~q;
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SETB~~~ ~~
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Frontyard Setback: "f
Side I Setback:
Side 2 Setback:
Contractor Type
Mechanical
Owner
Expiration Date
06/2512007...
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",0' ...'" 1;'" 0)' $'" ~'" ~
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..."'"' ",0 ~,oSq-Ft'2itd:Floor: ~
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~. ,:,0 .... ~Sq 'Ft Basement:'
,,) _ 'Ii ~'" <:)<:) SlfF.tGar~ge7Carport
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J;- .:;; v Rl" &Sq,Fth<!ther:
,v <: ;..' ';:j ~ I~ '''-'..\ S rf
" ,"" ",0 I}; .t!> ~mp."""y,IOUS u ace Area:
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I DEVELOPMENT INFORMATION-I; ':-:rj-"> ,0"
, ^- 0,'" ~~ 0' C,,<:, REQUIRED PARKING
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Overlay Dist: Ci Ci.::,{::'
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# Street Trees Rqd:
Paved Drive Rqd:
License
84164
Phone
541-345-2838
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains:
Notes:
Paee I of2
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lAt.
.
. Ul t OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00616
ISSUED: 07/10/2003
APPLIED: 07/10/2003
EXPIRES: 0111012004
VALUE:
Status
Issued
-l
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
o'r multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fee~ tlW!J
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
7/10/03
7/10/03
7/10/03
7/10/03
7/1 0(03
1200200000000001742
1200200000000001742
1200200000000001742
1200200000000001742
1200200000000001742
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.
I Reouired Tnsne~tion~ ,
1 Rough Mechanical: Prior to Cover
2 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 shail 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 wiil be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are In compliance with ORS 701.005 wiil 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 construction.
~
CT
7-/0 -~..3
Date
Paee 2 012
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00616
COM2003-00616
COM2003-00616
COM2003-00616
COM2003-00616
Payments:
Type of Payment
eheck
ii~
Receipt #: 1200200000000001742
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HOME COMFORT
Received By
jmp
(;heck Number
Batch Number Authorization Number
9868
City of Springfield OffiCial- Receipt
Development Services Department
Public Works Department
Date: 07/10/2003 1l:21:28AM
Amount Paid
12.00
33.00
10.00
3.15
4.50
$62.65
Item Total:
How Received
In Person
Payment Total:
Amoont Paid
$62.65
$62.65
.
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