HomeMy WebLinkAboutPermit Mechanical 2004-6-14
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00699
ISSUED: 06/14/2004
APPLIED: 06/14/2004
EXPIRES: 12/14/2004
VALUE:
, SITE ADDRESS: 548 S 5TH ST
ASSESSOR'S PARCEL NO.: 1703353405301
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: MIKE MAYNARD
Address: 548 S 5TH ST SPRINGFIELD OR 97477
Contractor License Expiration Date Phone
COMFORT FLOW 460 06/27/2005 541-726,;0100
DING INFO- - :--HE. \NOR~ '
NO ISH RM\1 \5 ~01
1H\$ p O{j~' DER 1\-\\5 PE, ; 0 rOR Lot Size:
R-3 AU1HO . ,'}o ft~SC,t\i~~OO~E Sq Ft 1st Floor:
COMM lat\QO. Sq Ft 2nd Floor:
VN ti't 1r<)~'t 1Jt~' Sq Ft Basement:
A Range Type: , Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: ' n/a Occupant Load:
Contractor Type
Mechanical
# of Units:
Primary Occup,a'ilcy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
-# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-736-7461
I CONTRACTOR INFORMATION I
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: utretyouto
~\~t"\~~ Oregon 1a!~,onon Ut\\\\y ,
I PUBLIC IMPROvdi~;iii$ a~:~;~~,esire =~:
~~fiOO~Rh~~otO~ ru\esbY
, \n OAR 95, ktllin cop~S_ .,- It
0090. You ma~wnsp~6~'iW!la\~P~iN&
caning the center. on Ut\\i\y Notiti\fCMl.....
number for the, O~~o0-s32-2344). ,
center \S
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date CalCulated
Total Value. of Project
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00699
ISSUED: 06/14/2004
APPLIED: 06/14/2004
EXPIRES: 12/14/2004
, VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge,
Air Handling Unit IIp to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
6/14/04
6/14/04
6/14/04
6/14/04
6/14/04
6/14/04
Receipt Number
1200400000000000900
1200400000000000900
1200400000000000900
1200400000000000900
1200400000000000900
1200400000000000900
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.
I Reouired Insoections .
Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU
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.
,[ -
'\J ^^ ~
Owne~ or cyntractors Signature
b I \ III 0 q
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
.541-726-3759 Phone
~~ of Springfield Official Receipt
"';\relopment Services Department
Public Works Department
RECEIPT #:
1200400000000000900
Date: 06/14/2004
2:10:36PM
Job/Journal Number
COM2004-00699
COM2004-00699
COM2004-00699
COM2004-00699
COM2004-00699
COM2004-00699
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Payments:
Type of Payment Paid By
Check COMFORT FLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 26130 In Person
Payment Total:
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65
6/14/2004
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