HomeMy WebLinkAboutPermit Mechanical 2002-10-17Status: Issued
225Frtth Street SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
OF SPRINGFIELD
Buildin g/C ombination Permit
PERMIT NO: COMil002-01225ISSUED: 1011712002
APPLIEDz 1011712002EIPIRESz 0411712003
VALT]E:
SITE ADDRESS: 1473 YOLANDA AVE
ASSESSOR'S PARCELNO.: 1703243303800
PROJECT DESCRIPTION: 2ll2 ton heat pump
Owner: LAMBJAMESV & JANETA
Address: I4T3YOLANDAAVE SPRINGFIELD OR 97477
follow rules
Springfield TYPE OF WORK Heating System
TYPE OF USE: New
law requrres you to
the
rule-
through
r. (Note:thetelephone
eContractor Type
Mechanical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
Contractor
HOME COMFORT HEA
LAMBJAMESV&JANET
nurnber
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface
Phone
541-345-2838
1
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
REQUTRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Availabh:
Special Instruction:
Notes:
Description Type of Construction $ per Sq Ft Square Footage
Total Value of Project
Sidewalk Type:
Downspouts/Drains
Contractor
LIC
Valuation Description
lof2
Value Date Calculated
Utility
1st Floor:
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-'%76 Fax
541:726-37 69 Inspection Line
F PRIN FIELD
Building/C ombination Permit
PER.MIT NO: COM2002-01225ISSUED: 1011712002
APPLIEDz 1011712002E)GIRESz 0411712003
VALI]E:
Fees Paid
Fee Description
+ 7Yo State Surcharge
+ 87o Administrative Fee
-Mechanical Issuance Fee-
Heat Pump
Minimum/Adi ustment Mechanical
Amount Paid Date
$3.1s
$3.60
$10.00
$r2.00
$33.00
Receipt Number
2200200000000000077
2200200000000000077
2200200000000000077
2200200000000000077
2200200000000000077
101t712002
10n7t2002
10fi7t2002
10n712002
10n7t2002
Received By
ddk
ddk
ddk
ddk
ddk
Total Amount $61.75
Total Fees Paid Prior to 9130102
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 following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
Plan Reviews
Required Inspections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that atl
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 certiS 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 atl 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 Signature
2of2
Date
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