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Home My WebLink AboutPermit Mechanical 2005-02-10Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00143ISSUED: 0211012005 APPLIEDT 0210412005EXPIRES: 08/1012005 YALUE: SITE ADDRESS: 2172 8TH ST ASSESSORTS PARCELNO.: 1703261201412 PROJECT DESCRIPTION: Change out heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair NTION: Ore Owner: Address: Contractor Type Mechanical DEBRA WRIGHT 47.140 PULAMA RD KAI\EOHE HI 96744 Contractor COMFORT FLOW ATTE Residential Phone 541-726-0100 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: VN Range Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: Sidewalk Type: Downspouts/I)rains: REQUIRED PARI(NG Total: Handicapped: Compact: RIS BAN NY 180 DA N $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Pase I of2 Value Date Calculated LL- to Date {/61fr7t200s IS NOISHALLEXPIRE ERMIl IF lHE HIS P Valuation Description Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00143ISSUED: 0211012005 APPLIEDT 0210412005EXPIRES: 08/1012005 VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 1oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $8.00 $12.00 $2s.00 $62.6s Total Value of Project Date Paid 2lt0l05 2lt0t0s 2lt0t05 2n0t0s 2n0t05 2n0t0s Receipt Number 1200500000000000175 1200500000000000r75 120050000000000017s 1200s00000000000175 1200500000000000175 1200500000000000175 To Request an inspection call the24 hour recording at 726-3769. AII 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 foltowing work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signaturer l 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. '2/q1d2,,,elL-^Z Oro*" * Co#* Signature Pase2 of2 Date lo L r_Ll H ees ratd I Keourreq rnspecuons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Crty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200500000000000175 Date: 0211012005 11:33:00AM Job/Journal Number coM2005-00143 coM2005-00143 coM2005-00143 coM2005-00143 coM2005-00143 coM2005-00143 Description + 1Yo State Surcharge + l0% Administrative Fee Air Handling UnitUp to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.s0 8.00 12.00 25.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW djb 28688 In Person Payment Total:$62.6s 21t012005 Page I of I