HomeMy WebLinkAboutPermit Mechanical 2003-06-30Building/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: COM2003-00563ISSUED: 0613012003APPLIED: 06/3012003EXPIRES: 1213012003
VALUE:
SITE ADDRESS: 764 SUNSET DR
ASSESSORTS PARCEL NO.: 1703341409600
PROJECT DESCRIPTION: Install heat pump
0wner: CRISMAN FRED L JR & MICHELLE A
Address: 764 SUNSET DR SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
License Expiration Date
06t27t2005
Contractor Tvpe
Mechanical
Owner
Contractor
COMFORT FLOW
CRJSMAN FRED L JR & MICHELLE A
460
Phone
541-726-0100
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group :
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
Vlhr
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk
\
PUBLIC IMPROYEMENTS
Notes:
Pase 1 of2
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Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00563ISSUED: 0613012003APPLIED: 06/3012003
EXPIRESz 1213012003
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7%io State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
6t30t03
6t30t03
6t30t03
6t30t03
6t30t03
Value Date Calculated
Receipt Number
1200200000000001670
1200200000000001670
r200200000000001670
r200200000000001670
1200200000000001670
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.1s
$12.00
$33.00
$62.65
Plan Reviews
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 Rough Mechanical: Prior to Cover
2 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.
Owner or Contractors
Pase 2 of 2
Date
o>
q
Valuation Description I
r ees ratd I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Dep artment
Public Works Department
Date:06/30/2003 11:41:5lAM
coM2003-00563
coM2003-00563
coM2003-00s63
coM2003-00563
coM2003-00563
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Item Total:$62.6s
3.15
4.50
12.00
33.00
10.00
TypeofPayment PaidBy Received By Batch Number Authorization Number How Received Amount Paid
Check COMFORT FLOW djb In Person
Payment Total:
$62.6s
$62.65