HomeMy WebLinkAboutPermit Mechanical 2004-4-12
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Building/Combination Permit
PERMIT NO: COM2004-00410
ISSUED: 04/12/2004
APPLIED: 04/12/2004
EXPIRES: 10/1212004
VALUE:
SITE ADDRESS: 539 GRANITE PL
ASSESSOR'S PARCEL NO.: 1703341214700
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
Alteration
Residential
PROJECT DESCRIPTION: Replace hp & ah.
Owner: DORAN STEVEN R & SANDRA L
Address: 539 GRANITE PL SPRINGFIELD OR 97477
Phone Number: 541-741-2759
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
Phone
541-726-0100
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Ty{!." of Heat: Sq Ft 2nd Floor:
~~lit'\'" Type: Sq Ft Basement:
,\y;-.~ ~~hlie Type: ~q Ft Garage/Carport
~ .I>.\-- ~"fgy Path: o-.}l!!-~~Other:
o%\...~~,,;.<::}\J 0"" "" ~~rvious Surface Area:
...'4.3 .... 'C ...'\,<"~ l';. -l' ;-'- _C'\
~'?-\..\.. ;5'0':j~EVELOPMENT INFORMA TI9Jf,~0'b~0 "'C?l~')::0"" ....
. SETBACK&.'. ~ S ~<vX; S '?-~' ,0- ~" -;..0"" '!r-~ ,-::> oofiEQYIRED PARKING
IC.'''V'''~~ ~..:s R-- '\ ~. o~ N"I ,-::> 0 -S-0 ~~ ~oo
Front yard Set~lI> 'XX; ~X; ~ ~ ~~ Overlay Dist: 1.0($ 0'<:> 0",,0 ~if 0' ~0 .l\,c'tOtal:
Side 1 Setback: '\~'? y;-.\)"<:I- ~\,;X; :.\. 'XX; # Street Trees~lilh)~,0 ,,~ ~o.il"" ~0 "I ~o"l' Handicapped:
Side 2 Setback: '?-\;:;'\ ~~<<: ~ <v~ Paved Dri~qd.;.~ ~0" ,r;:;,"1 (:,0 ~0'''I.~~ o.!>l>'Compact:
Rearyard Setback: \,;\)~"" ,'0 % Ofl<Q<j;'fo~~~e?",$:Ir;:;,~i>-: ~o ,,-\)':');1.-
,,~ ~ ~. ~ !:)v 0'" ~. 0" "'.
Solar Setbacks: ~ 'i" -s:,.0 ~O.....'I: ~-il, ~0 10.0<:$ ~~..
,,0 .".C'J OO...J ~ ..0 n 0.:
I PUBLIC IMrot~MEN:rs:,"I.-S-'oO ;....0
\. I ).r
'\' 'lX)- ~" :\ r
d:l c,'li' ~0 r' Sidewalk Type:
^-.}~ D
.... ownspoutslDrains:
# orUnUs:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2004
I, Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
.
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!
I
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00410
ISSUED: 04/1212004
APPLIED: 04/1212004
EXPIRES: 10/12/2004
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.s tlWU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
4/12104
4/12104
4/12/04
4/12104
4/12104
4/12104
Receipt Numher
2200400000000000351
2200400000000000351
2200400000000000351
2200400000000000351
2200400000000000351
2200400000000000351
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 Insnections 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 herehy 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
tim~Uring construcL ri-j f I) /6 LJ
Owner or Contractors Signature
Date
Paee 2 of2
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aty of Springfield Official Receipt
.velopment Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
I.
Job/Journal Number
COM2004-0041O
COM2004-0041O
COM2004-0041O
COM2004-00410
COM2004-00410
COM2004-0041O
Payments:
Type of Paymeut
Check
411212004
RECEIPT #:
2200400000000000351
Date: 04/12/2004
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COMFORT FLOW HEATING
CO.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 255 I I In Person
Payment Total:
Page 1 of 1
2:21:30PM
Amount Due
8.00
12.00
25.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65