HomeMy WebLinkAboutPermit Mechanical 2003-06-19rF
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00538ISSUED: 0611912003APPLIED: 0611912003
EXPIRESz 1211912003
VALUE:
SITE ADDRESS: 3230 PARTRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703221309000
PROJECT DESCRJPTION: install air conditioner
Owner: yAGERDORISMARIE
Address: 3230 PARTRIDGE WAY SPRINGFIELD OR 97477
Springfield TYPE OF WORI(: Single Family Residence
TYPE OF USE: Alteration Residential
Expiration Date
06t27t2003
Contractor Type
Mechanical
Owner
Contractor
COMFORT FLOW
YAGERDORIS MARIE
460
Phone
541-726-0100
CONTRACTOR INFORMATION
BUILDING INFORMATION
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
LL EXPIRE IF THE WORK
AUTHORIZED UND
COMMENCED OR IS ABANDONED FOR
square rr"$U:/180 DAY PER
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Valuation Descrintion
Description Type of Construction $ Per Sq Ft
Pase I of2
Value
r0D
Date Calculated
License
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00538ISSUED: 0611912003
APPLIEDz 0611912003EXPIRES: 1211912003
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7o/o State Surcharge
Appliance Not Listed
Minimum/Adj ustment Mechanical
Amount Paid
$10.00
$4.s0
$3.15
$9.00
$36.00
Total Value of Project
Date Paid
6fi9t03
6n9t03
6n9t03
6lt9t03
6lt9t03
Receipt Number
r200200000000001594
r200200000000001s94
1200200000000001s94
1200200000000001594
1200200000000001594
Total Amount Paid $62.65
To Request an inspection call the24 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 Final Mechanical: When all mechanical work is complete.
red Insnections
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
L/tq to 3
or Signature
Pase 2 of 2
Date
F ees rard
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #z r200200000000001594 Date: 0611912003 3:12:16PM
coM2003-00538
coM2003-00538
coM2003-00538
coM2003-00538
coM2003-00538
Appliance Not Listed
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ llYo Administrative Fee
9.00
36.00
10.00
3.15
4.50
Item Total:$62.65
TypeofPayment PaidBy Received By Batch Number Authorization Number How Received Amount Paid
Check COMFORT FLOW HEATING dlm 22431 In Person
Payment Total:
s62.6s
1r62.65
|tffiGl3t*
(