HomeMy WebLinkAboutPermit Mechanical 2003-8-26
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.- CITY OF ~rKll~ld'mLD
Building/Combination Permit
PERMIT NO: COM2003-00828
ISSUED: 08/26/2003
APPLIED: 08/2612003
EXPIRES: 02/26/2004
VALUE:
SITE ADDRESS: 3840 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702194100200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: WHEELER RALPH A & MYRNA K
Address: 3840 HAYDEN BRIDGE RD SPRINGFIELD OR 97477
Contractor Type
Mechanical
, CONTRACTu... mFORMATION I
Contractor
COMFORT FLOW
Phone
541-726-0100
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
License
460
Expiration Date
06/27/2005
, BUILDING INFORMATION I
~u- ,~~'l
# of Stories~'" ~ \)'\. ,o~ ,
R-3 HeightiOlStru~tu~ n.d:> \.
N' ,_,'- ~" <';v
Type of,Heat:0' '1)J '0'"
(' , \". \e......<?- y>' 0
VN 0($ Wat~r Type: or ~0 ~ O~ ^
0\ "V ,u, '" ,'I)' ~ '0'-
~, <\'I!Range'Type: 0' '/..0~ '1>~
:\,0 '1>(:,0" E;}~rgy~P'ath::; 0 ,0 ~\\O
<,,~ 0'" :<;\''0 ,,\V oOy,~ ~O
...-0V..\~ ~(j0_....\:Jv .~~ _\0,0~,~~~_~/i;\'
'O~~\o'1>"I:(DEV.EI!.ORMEN:r.;iN-FORMA TION I
~o~ ~<?- \). v v' ~v'
~O ,,\:J,-4.0 9J'S'0.'S'0,\",V,
\:J\:J'" f:,.\~ ~"i0~fJay Dlst:
00' ~'O0 I/!,'Street Trees Rqd:
~\S Paved Drive Rqd:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
% of Lot Coverage:
~\J~.:f,
,~",'t. _ ""-\J\
I PUBLIC IMPROVEMENTS I 't.i-~\~'t. ~~~\\ ~~~
"to.' \, ",c, ~ -,,\'t.\)
rc,. -< <;D....Slde\faIK Tvpe:
",,,y' ~\ \ '" ~'t.'I' \'.~'"
~~ S ~'t.~ 't.\) '0~~41~~-Y;outslDralns:
,\y," y,\J~\t x.\) \J ~\\)\),
, \'.'0\~~'t.~\~ ~~
,,\:J " \ 'O~
!I.~'
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Total Value of Project
Page 10f2
.
. l.-H l' OF ~rKJl~uN1!,LD .
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00828
ISSUED: 08/26/2003
APPLIED: 08/26/2003
EXPIRES: 02/26/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.~P:!lW
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12,00
$33.00
8/26/03
8/26/03
8/26/03
8/26/03
8/26/03
Receipt Number
1200200000000002025
1200200000000002025
1200200000000002025
1200200000000002025
1200200000000002025
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.
l" Reouirp.tI up.rtion~ 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 the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times durIng construction.
lli~ OQJ\M/~ ~ 0 ~Af\r.l-^('
Owner or contractu Slg~ature .
zJ),~ j ~
c
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2003-00828
COM2003-00828
COM2003-00828
COM2003-00828
COM2003-00828
Payments:
Type of Payment
Check
~,:~,'~',i','\'~.C'""l
~.
Receipt #: 1200200000000002025
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt.
Development Services Department'
Public Works Department.
Date: 08/26/2003 2:13:14PM
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
.
.