HomeMy WebLinkAboutPermit Mechanical 2003-11-7
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'CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01122
ISSUED: 11/07/2003
APPLIED: 11/06/2003
EXPIRES: 05/07/2004
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: 2555 HARVEST LN
ASSESSOR'S PARCEL NO,: 1703243300117
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install electric furnace and heat pump
Owner: CLYDE COONTZ
Address: 2555 HARVEST LN SPRINGFIELD OR 97477
Phone Number: 541-747-9082
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2007
Phone
541-345-2838
BUILDING INFORMATION'
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
, Street Improvements:
Sidewalk Type:
Storm Sewer Available: DownspoutslDrains:
Special Instr~fi?~NTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes: lotification Center. Those rules are set for NOTICE:
III ~~;I :.,::::: ::~: :~-:..:1- r\AD nct') nn TI-lI~ Dt:Q~~IT ~U^ll CVDID: I~ :~~ '!I~-r~t
0090 You may obtain copie~l cUtl, e rt',lles,.,. . t' I AUTHORIZED UNDER THIS PERMIT IS NOT
. Va ua IOn uescrm IOn C
calling the center. (Note: t1, - . OMMENCED OR IS ABANDONED FOR
numO'3r for the Oreppn Utilits P~'rtSJrF'tion Square Fo~ill~e180 DAY PFRIOD.
Description Type of.Construchon~3? ..."A Alt' I' B'd A t \Talue Date Calculated
. I .pr..nrl~ I-f.,\\}ll... _.or~mu Ip ler or I moun
Total Value of Project
Paee I of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.F~~s Paid I
Amount Paid
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$12.00
$13.00
$62.65
I Plan Reviews I
Date Paid
11/7/03
11/7/03
11/7/03
11/7/03
11/7/03
11/7/03
11/7/03
_ CITY OF SrKll~hl< IJ<.LU
Building/Combination Permit
PERMIT NO: COM2003-01122
ISSUED: 11/07/2003
APPLIED: 11/06/2003
EXPIRES: 05/07/2004
VALUE:
Receipt Number
1200200000000002435
1200200000000002435
1200200000000002435
1200200000000002435
1200200000000002435
1200200000000002435
1200200000000002435
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 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 tbe 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.
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Date-- -
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Spfingfield Official Receipt
Development Services Department
Public Works Department
Date: 11/07/2003 2:44:0IPM
Receipt #: 1200200000000002435
Job/Journal Number
COM2003,01122
COM2003-01122
COM2003-01122
COM2003-01122
COM2003-01122
COM2003-01122
COM2003-01122
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100.000 btu
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Paid
.yments:
Type of Payment
Check
Item Total:
3.15
4.50
12.00
8.00
12.00
13.00
10.00
$62.65
Paid By
HOME COMFORT
Received By
dim
Check Number
Batch Number
Authorization Number
How Received
In Person
Payment Total:
Amount Paid
10475
$62.65
$62.65
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