HomeMy WebLinkAboutPermit Mechanical 2003-08-05Building/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: COM2003-00697
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/0s/2003
08/0s/2003
02t0st2004
/,\
SITE ADDRESS: 4047 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702314407000
PROJECT DESCRIPTION: Install heat pump
Owner: MCGILLMAy MICHAEL J & JOBINA J
Address: 4047 VIRGINIA AVE SPRINGFIELD OR 97478
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
Contractor Tvpe
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
0612512007
Phone
541-345-2838
# 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:
Notes:
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water
Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
PARKING
\t
Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Paee I of2
v
Description Type of Construction VaIue Date Calculated
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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: COM2003-00697ISSUED: 08/05/2003APPLIED: 08/0512003EXPIRES: 02/0512004
VALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid Date Paid
8lst03
8/s/03
8/5/03
8/5/03
8/5/03
8/5/03
$10.00
$4.50
$3.15
$8.00
$12.00
$2s.00
Receipt Number
1200200000000001895
120020000000000189s
1200200000000001895
1200200000000001895
1200200000000001895
1200200000000001895
$62.6s
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.
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.
'.t'o3
Owner or
Page 2 oI 2
Date
ra.
Kequrreo lnsDectrons
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
Development Services Department
Public Works Department
Receipt #: 1200200000000001895 Date:08/05/2003 10:33:54AM
Job/Journal Number Description Amount Paid
coM2003-00697
coM2003-00697
coM2003-00697
coM2003-00697
coM2003-00697
coM2003-00697
+ 7To State Surcharge
+ l0o/o Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
3.15
4.50
8.00
12.00
25.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
Check HOME COMFORT djb In Person
Payment Total:
$62.65
$62.6s
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