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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 ..~. ~... ,,,.. .,..,- .......... '.on-. '"'1./1:." I DEV,EEOI!l\-...lulmFORMATlON:r 'l;-"v \>-' . >> ' c."'" 0'''''''' Rl-~ \<c-Oc",-{o ,,~~,,\\e, .....,o<::J 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 . 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 Page I of I . . cReceipt.rpt