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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 .