HomeMy WebLinkAboutPermit Mechanical 2005-10-6
-.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1939 MCDONALD CT
ASSESSOR'S PARCEL NO.: 1703271307800
. M.,.,
~
. CITY OF SPRINuN~L1J
Building/Combination Permit
PERMIT NO: COM2005-01366
ISSUED: 10/06/2005
APPLIED: 10/05/2005
EXPIRES: 04/0612006
VALUE:
,.
Springfield TYPE OF WORK: Heating System
n1>F8F'USE':': ONeW'n law require~esld~iltial
follow rule~ adopted by the Oregon Utility
No!iH~ation Center. Those rules are set forth
'0"0~90~' ~ vv~ 'vv Pho"n'ev~~:.;'6'e'i:I.' ull'i'-7.iY:ilt'dj"
, TaU may O1:haln'''VfJ''''; of'fTre rUles fly
calling the center, (Note: the telephone
number for the Dreaan [Hilih, Nnlifi,.."linn
Center is 1-800-332-2344).
I CONTRACTOR INFORMATION I
PROJECT DESCRIPTION: Install heat pump
Owner:
Address:
JAN NIXON
1939 MCDONALD CT
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
COMFORT FLOW
.. # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
- Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
License
460
BUILDING INI\ORMA T10N ,
Expiration Date
06/27/2007
Phone
541-726-0100
R-3
# of Stories: ~O Lot Size:
Height of Struct T1C~: Sq Ft 1st Floor:
Type of Heat: HIS PERMlr SHAl~mM IP~ WORK
Water Type: AUTHORIZED UNOE~' .
Range Type: COMMENCED OR IS l~oWJT
Energy Path: ANY ~OO . FOR
Sprinkled Building: ~l~IO, cupant Load:
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
Downspoutsillrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
.
. CITY OF ~rKll"\juN~L1J
Building/Combination Permit
PERMIT NO: COM2005-01366
ISSUED: 10/06/2005
APPLIED: 10/05/2005
EXPIRES: 04/06/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,.
Total Value of Project
L.Fp.p.. P"'W
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
Receipt Number
3200500000000000597
3200500000000000597
3200500000000000597
3200500000000000597
3200500000000000597
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 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.
IRp.~
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 he 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
I "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 dUri~g constru7 -/
/7.-/ ~~ ~ 1.-. $ /0 - b -03
/~..,.- /' -
Owner or Contractors Signature Date
Pa~e 2 of2
225 Fifth Street
SpringfiGld, Oregon 97477
54\-726-3759 Phone
Job/Journal Number
COM2005-0 1366
COM2005-0 1366
COM2005-0 1366
COM2005-0 1366
COM2005-0 1366
Payments:
Type of Payment
Check
"
u
:t
:r
'.
r,
'<
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,.
'<
10/612005
or
,
.
RECEIPT #:
"'~,,"~!!"~, -'-. .- '.
1It.r'
. ':a.so' ':
...
.....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
3200500000000000597
Date: 10/06/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING
CO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 31452 In Person
Payment Total:
Page I of I
1:SS:20PM
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
$62.65
$62.65