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HomeMy WebLinkAboutPermit Mechanical 2004-07-27F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00935ISSUED: 0712712004 APPLIEDT 0712712004 EXPIRESz 0112712005 VALUE: PROJECT DESCRIPTION: Change out heat pump Owner: EMMONS DONALD M & MERLENE J Address: 3228 VALLEY MEADOWS CRT SPRINGFIELD OR 97477 SITE ADDRESS: 3228 VALLEY MEADOWS CT ASSESSORTS PARCEL NO.: 1702302103800 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential LicenseContractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t2005 Phone s4t-726-0100460 )NTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: $ Per Sq Ft or multiplier Square Footage or Bid Amount THE WORK MIT IS NOT ED FOR Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla E{l Itsllfol rutss arc REQUIRED PARIflNG Total: Handicapped: Compact: DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project Value Date Calculated \ PERMIT&{AL{TEXPIRE ! 180 Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00935ISSUED: 0712712004APPLIED: 0712712004 EXPIRESz 0112712005 VALUE: tr'ees Paid Fee Description -Mechanical Issuance Fee- + l0/o Administrative Fee + 7%o State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $r0.00 $4.s0 $3.1s $12.00 $33.00 $62.65 Date Paid 7t27t04 7t27t04 7127104 7t27t04 7t27t04 Receipt Number 1200400000000001 144 1200400000000001 144 1200400000000001144 1200400000000001144 1200400000000001 144 PIan 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 Springlield 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. D7/ali q Owner or Contractors Signature Date Pase2 of2 l(eourreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone city of Springlield Official Receipt velopment Services Department Public Works Department RECEIPT#: 1200400000000001144 Date: 0712712004 10:50:34AM Job/Journal Number coM2004-00935 coM2004-0093s coM2004-00935 coM2004-00935 coM2004-00935 Description + 7Yo St^te Surcharge + l0% Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.s0 12.00 33.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By uhecl(Number Authorization Received By Batch Number Number How Received Amount Paid Check COMFORT FLOW djb 2666s In Person Payment Total: $62.6s -$62i-f 7t27/2004 Page I of I asrrI3nll.D