HomeMy WebLinkAboutPermit Mechanical 2003-6-13
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.c CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00471
ISSUED: 06/13/2003
APPLIED: 06/06/2003
EXPIRES: 12/13/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4684 HAILEY CT
ASSESSOR'S PARCEL NO.: 1802051210300
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: InstaU air conditioner
Owner: KINSLOW JAMES E & JUDITH C
Address: 4684 HAILEY CRT SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
SETBACKS
Contractor
HOME COMFORT HEATING & AIR ,0
KINSLOW JAMES E & JUDITH C, ~O'>.;:i..~ )
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I BUlLDING'INFORMAHON I
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~~ O~<;)I 'DEVECOPMENT INFORMATION ,
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",\:i Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
License
84164
Expiration Date
06/25/2003
Phone
541-345-2838
Contractor Type
Mechanical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
..\\)Ollmpact: .
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I PUBLIC IMP~~'~~l:~~\l> ~~~~'V\)~(;~
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~'0'\~~'t.~C; ~ \l't.'13ownspoutslDrains:
\j\) "" \ 'O~ 'V
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% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion ,
Description
Type of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
Paee 1 of2
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
Minimum/Adjustment Mechanical
Total Amount Paid
.
Total Value of Project
I F~~s Pair! I
Amount Paid
Date Paid
.
CITY OF SPRIl'lul'U,LlJ
$10.00
$4.50
$3.15
$8.00
$37.00
6/13/03
6/13/03
6/13/03
6/13/03
6/13/03
Building/Combination Permit
PERMIT NO: COM2003-00471
ISSUED: 06/13/2003
APPLIED: 06/06/2003
EXPIRES: 12/13/2003
VALUE:
Receipt Number
1200200000000001526
1200200000000001526
1200200000000001526
1200200000000001526
1200200000000001526
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.
$62.65
I Plan Reviews I
I R~olJirer!lnsnf'~tions I
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 sball be done in accordance with
the Ordinances of tbe 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 construction.
//K~
Owner or Contractors Signatur
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Pa2e 2 of2
(J?- /3 ~C'3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0047I
COM2003-00471
C0M2003-00471
COM2003-0047I
COM2003-0047I
Payments:
Type of Payment
Check
6/13/2003
City of Springfield..,
Development Services Department
Public Works Department
(,'
Official Receipt
Receipt #: 1200200000000001526
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid Dy
HOME COMFORT
Received By
djb
1O:39:53AM
Date: 06/13/2003
Item Total:
Amount Paid'
3.15
4.50
8.00
37.00
10.00
$62.65 .
Check Number Conl1rm No
Amount Paid'
62.65
$62.65 '
How Received
In Person
Payment Total:
Psge loft
.
.
cReceipt.rpt