HomeMy WebLinkAboutPermit Mechanical 2003-10-1
~'
..
. U 1 i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00990
ISSUED: 10/01/2003
APPLIED: 10/01/2003
EXPIRES: 04/02/2004
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1275 ISLAND ST
ASSESSOR'S PARCEL NO.: 1703342200219
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: KEN ANDERSON
Address: 1275 ISLAND ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
156678
460
Expiration Date
08/14/2005
06/27/2005
Phone
541-686-5444
541-726-0100
BUILDING INFORMATION I
VN
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: S~Ft 2nd Floor:
Water Type: as 'lcsq~tIBasement:
Range Type: . ~ ~ao.\}\~ O{\ 'Sq' ~aragelcarport
Energy Path: (j0{\ \8' ~e O~e9 ~e~'? ther:
\O~..O~a'aO 'O'l ~ ~\}\aS ~Q WiP i~us Surface Area:
-.-;,""'\ 1,,0\. .-c..9 I"'\Wl' l\G.fI
I DEVEi:ti.PMBNfJNl1@1WA'FIeri.?i~ 0\ ,~'" ~~O{\a
,- .~C~\\v. ..oO\!J! ~i{\ (;'" . ,~a ,e\~~~\C~\i<iU:QUlRED PARKING
~O\' \ "'-~Z 0'0'1: t~o\e. '" ~O \
l?~~IiiY.D~ti(l~'l (I\e~. \; (I \)\\\~" ~4A~' Total:
M~t~~'t't,Rqd\ O~e~O O_~~Z''l- Handicapped:
pavceGf}\'i'* ~1I\~a.c. ,,_eO Compact:
__ ,(\'\'Oe~ "V~~ ,-
% ormt Covemge:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type: 0\'1"
f: Down~~U&"'iritlE 'l'J ~01
~~~~cR~~~ ~~~R 1\\1~~~~~~ ;~\\
~1.I1\\O\'l11 cD OR IS ~'O~
CO~~c~C ~ I'c\'lIOD.
~~'/ '\ 'O() Dill
Paee I of3
".
.
^
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
F pp< tiIilIJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
10/1103
10/1103
10/1103
10/1/03
10/2103
10/2/03
10/2/03
10/2/03
10/2/03
10/2/03
Total Amount Paid
$116.47
Plan Reviews I
. CITY OF SPRI1'lul'l~L1J
Building/Combination Permit
PERMIT NO: COM2003-00990
ISSUED: 10/0112003
APPLIED: 10/0112003
EXPIRES: 04/0212004
VALUE:
Value
Date Calculated
Receipt Number
1200200000000002243
1200200000000002243
1200200000000002243
1200200000000002243
1200200000000002251
1200200000000002251
1200200000000002251
1200200000000002251
1200200000000002251
1200200000000002251
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 !?p'\lli,rprlln<nections I
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
3 Rough Mechanical: Prior to Cover
4 Final Mechanical: When all mechanical work is complete.
Pal!e 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00990
ISSUED: 10/0112003
APPLIED: 10/0112003
EXPIRES: 04/02/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
ti~~1 /c;7-Z.cg
./ t. Ik
Owner or Contractor! Signature Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00990
COM2003-00990
COM2003-00990
COM2003-00990
COM2003-00990
COM2003-00990
Payments:
Type of Payment
Check
~:.i
_..).)
Receipt #: 1200200000000002251
Description
+ 7% Slate Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
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 Departme~t
Public Works Department
Date: 10/0212003 10:lS:27~
Amount Paid
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
.
$62.65
$62.65
.