HomeMy WebLinkAboutPermit Mechanical 2003-5-13
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00371
ISSUED: 05/13/2003
APPLIED: 05/13/2003
EXPIRES: 11/13/2003
VALUE:
"A.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3980 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702194100900
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: install gas furnace
Owner: CROSS FRANK L & CARMELlTA J
Address: 3980 HAYDEN BRIDGE RD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
HOME COMFORT HEATING & AIR
CROSS FRANK L & CARMELlTA J
I BUILDING INFORMATION I
>>'0
# of Stories: e<;' "',0 :i.{\\I."', Lot Size:
Height of Structureo.~" ~o<c- '\) e' ,o~, Sq Ft 1st Floor:
Type of Heat"~,,, \'" 0,0 ~,e ~ b'l:f:)f:) .J,q Ft 2nd Floor:
Water,~~~" l'l~e ~\e<;' ~g ~\e<;' SqFtBasement:
Ranll~)I'yp'~:-) '0 o<;,e' ,.:"". O~ ~e ' ~o<c-eSg Ft Garage/Carport
~l!lit1'rgy.)l'iitb:\~ ~,o~"'e<;' 0' e\e~, c.~S'q'Ft Other:
~~., ,.s.e: Ge\\:~~~\ ~': c.o~~;.~~~~o~~~ Impervious Surface Area:
License
84164
Expiration Date
06/2512003
Phone
541-345-2838
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
SETBACKS
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I DEV,EEOI!l\-...lulmFORMATlON:r
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f:)<::J'~x.~r.ta~R~t: 0.,,<;,
#,St"eet-Treei'Rqd:
P""d"D ,v-R d
aVe rive q:
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
, ~()\\~
\~'t. ~()\
. ,n',* \r . ,,1 \S
I PUBLIC IMPROYJ!i~TS.S~t>-\..\.. t.~~\S \I't..~~\) 'f\J~
\''' c.Y\"" ,,~'~r.\\ ~""!:J()
",dlS \II.. 1\C() v\"Sllie,\,~K''fype:
"" ()\\'l.'- ()\\ \;)
1>-'0\\\ ~t.~c,t.() ~~'$outslDrains:
c,()\l'i \ 'O~ ()I>-i
I>-~i ,
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
Page I of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount Paid
Total Value of Project
I Fp.p.s Paid I
Amount Paid
Date Paid
. CITY OF SPRIr~lJt<lELD
Building/Combination Permit
PERMIT NO: COM2003-00371
ISSUED: 05/13/2003
APPLIED: 05/13/2003
EXPIRES: 11/13/2003
VALUE:
Receipt Numher
2200200000000000841
2200200000000000841
2200200000000000841
2200200000000000841
2200200000000000841
2200200000000000841
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.
$10.00
$4.50
$3.15
$6.00
$12.00
$27.00
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
$62.65
I Plan Reviews ,
I Reouired lIIsnp.p.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 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 he 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.
//~~
Owner or Contractors Sigjre
(;
, .
Paee 2 of2
5- /3 t6-=s
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2003-0037I
C0M2003-0037I
COM2003-00371
COM2003-00371
C0M2003-00371
C0M2003-0037I
Payments:
Type of Payment
Check
5/13/2003
City of Springfield
Development Services Department .'
Public Works Department
Official ReceiDt i'
Receipt #: 2200200000000000841
Description
Furnace - up to 100,000 btu
Appliance Vent
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HOME COMFORT
2:52:45PM
Received By
djb
Date: 05/13/2003
Amount Paid
Item Total:
12,00
6,00
10,00
27.00
3,15
4,50
$62.65
Check Number Confirm No
Amount "'aid
How Received
In Person
Payment Total:
62,65
$62.65
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cReceipt.rpt