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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* (