The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2003-10-10 .. . CITY Ot< ~.t"KlNGFIELD' Building/Combination Permit , . Status Issued PERMIT NO: COM2003-01029 ISSUED: 10/10/2003 . APPLIED: 10/10/2003 EXPIRES: 04/10/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 895 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703261200900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: ROBERT ORLANDO Address: 895 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-747-1578 Contractor Type Mechanical I CONTRACTOR INFORMATION' Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION. Expiration Date 08/31/2004 Phone 541-683-2590 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: ~~t\~..ize: R-3 Height of Structure eS -pq:!\t~t Floor: Type of Heat: eo.'V\~ o{i.qlFt ~d Floor: VN Water Type: \~'Il ~ 0~0~ ~lf.I;l ment: Range Type: ~e~O~ '0'1 \~e ~0'O ~~~~ ~lIge/Carport Energy Patt\:>~9 ~\06 0'00 ~\) ~ O~~,ltlll'ii'ier: .A'<C.~'\~ '0 ~600~'''i'C'' \~,0'VCf. '0 o'i~~~rface Area: ..... \ ..,\0 .onl.! .n _\I!l .'" "r"'\\ I DEVELdRME~~~ORM1:iioN~i)\e"\~~~ ~o~~. -"l,O....'.' ~ ':P~ ~e'l - ~0~" 0(\ \)\\.'2.?'t. REQUIRED PARKING 0'" fO'V c0(\ ~6Q) ~~... Over'l'!-Y~t: \~6 ~0 0 .~'V()-- Total: # Stre'M.'~s&~:Ad,O~~ ~\~ '\ Handicapped: Paved Dr~~'ii: (l'{"C>. Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: -~'( I PUBLIC IMPROVEMENTS' n\\,\'t. \r i\-\'t. ~~~\ ~\\it.' ~ tAr 't.\\W\\i \ "i~\S ?'t.~W\~!"ii.\iti\ :!;\~(\~'t.\) rQ\\ \-\0\'.\1\."', .ti<<~~u~alt1"1. ~~~W\t.~Ct.~ ~t.\\\Q\). t-~'{ '\'00 Q Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal1e I of2 . . CITY OF ~rKl1~GFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-0I029 ISSUED: 10/10/2003 APPLIED: 10/10/2003 EXPIRES: 04/10/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I 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 10/10/03 10/1 0/03 10/10/03 10/10/03 10/10/03 1200200000000002294 1200200000000002294 1200200000000002294 1200200000000002294 1200200000000002294 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 1 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 construction. (~;JILUUAJT'>" tJ.-/h~../ /W/tJ7/J3 Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 I 029 COM2003-0 I 029 COM2003-0 I 029 COM2003-0 1029 COM2003-0 I 029 Payments: Type of Payment Check ~l.~O","'~'~"""!. " '] ^7"'-"'" .~, .' ,. <,i,} -..-~,.,._. ..' ,.,..~,,~, -', Receipt #: 1200200000000002294 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIATED HEATING Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department" Date: 10/10/2003 I1:23:46AM Amount Paid Item Total: 3.15 4.50 12.00 33.00 10.00 $62.65 How Received In Person Payment Total: . Amount Paid $62.65 $62.65 .