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Home My WebLink AboutPermit Mechanical 2006-2-17 . .~ CITY OF ~nuNGFIELD . Building/Combination Permit PERMIT NO: COM2006-00196 ISSUED: 02/17/2006 APPLIED: 02/16/2006 EXPIRES: 08/17/2006 VALUE: , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ';' 541-726-3769 Inspection Line , ,), SITE ADDRESS: 21 HAYDEN BRIDGE WAY :.' ASSESSOR'S PARCEL NO.: 1703224407600 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Change out heat pump and coil ArTt-o ._. _ Contractor Type Mechanical Contractor COMFORT FLOW '-" .'.......jV,vregon/aw~~.....,.. fCI:o.:! rulc- adopted b Plione"Niirjlber:o 541-741-1226 NOV:CilueJO Center Th y the Oregon Utility in O/',R 952-001-001 n t~,:~.~u~e~ ~~eset forth uU.:;JV. YOU mav nht.Ql') v -.... ,",...Jc.~vu I~ I CONTRACTOR;INFORMATION I caples of the rules by . IIUfIlOer for the Or No:e: the telephone . egon E1td,t.. l\t-.t +..... ' CerJ!,~~tn~~dOO_' l'Jlw~!~on.Date 460 ,j,j~-206/27/2007 Phone 541-726-0100 Owner: TIMBER VALLEY CLINIC Address: 21 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 BUILDING INFORMATION' ., # of Units: I'.. Primary Occupancy Group: " Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type ofJlAat: Sq Ft 2nd Floor: Water rw1.ICE: Sq Ft Basement: . Range t~:PERMIT SHAL Sq Ft Garage/Carport Ener~lIlO~ZE L EXPIRE ftqm~~' SprinliJ"'rl\~ujJ, rw.;D UNDERIU"li-I/S PEGcCI\II 'L~IM: , U"I>TIvH:r L'1-f1 no '("0 , f'lIVIf r . ^,nT I DEVELOPMkNiMtsRMIABlIo'rli",vUUNt:D FOR '. _ , REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ., Street Improvements: b. Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslOrains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated PaEelof2 -. . . Ul l' OF SPRINGFIELD-" . Building/Combination Permit' Status Issued .. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2006-00196 ISSUED: 02/17/2006 APPLIED: 02/16/2006 EXPIRES: 08/17/2006 VALUE: Total Value of Project F",,~ tii.IU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge , Boiler/Comp Up To 100,000 btu Heat Pump . Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.60 $12.00 $12.00 $21.00 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 Receipt Number 2200600000000000222 2200600000000000222 2200600000000000222 2200600000000000222 2200600000000000222 2200600000000000222 c .. ~ '. Total Amount Paid $63.10 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. , Renuir"~ Inoo""timW .. . ~ ~ Rough Mechanical: Prior to Cover 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 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. ~L O~or contrac~re a/J1/{)//1 Date .. ~ , .; " Pal!e 2 of2 . .~ ~ ~.~,r' .' 225 Fifth Street ..i!ipringfield, Oregon 97477 1541-726-3759 Phone ! . i I Job/Journal Number GQM2006-00 196 COM2006-00 196 COM2006-00 196 COM2006.00 196 c!OM2006-00 196 COM2006-00 196 Payments: Type er Payment Check ( !\~ :C :, i:t 1(' ., I.\.. :( ! '. i :t; r t f' I ; \ j'.I. I . . , 2/1712006 RECEIPT #: Jity of Springfield Official Receipt .evelopment Services Department Public Works Department 2200600000000000222 Date: 02/17/2006 Descriptien + 8% State Surcharge + 10% Administrative Fee Boiler/Comp Up To 100,000 btu Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW Received By njm Page 1 of I Item Total: Check Number Authorization Batch Numher Number Hew Received 32921 In Person Payment Total: 8:49:36AM Amount Due 3.60 4.50 12.00 12.00 21.00 10.00 $63.10 Ameunt Paid $63.10 $63.10