HomeMy WebLinkAboutPermit Mechanical 2003-8-11
CITY,OF SPRINGFIELD -
- Building/Combination Permit
PERMIT NO: cOM2003-00739
ISSUED: 08/11/2003
APPLIED: 08/11/2003
EXPIRES: 02/11/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2428 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251404000
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump
TYPE OF USE:
Residential
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Owner: KEMP MARYANE . '(.0~ 0~0 tOe\. J:)O
Address: 2428 MAlA LOOP SPRIN(.WiE~Q)~O~~~7A~'i,; Cb \.
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Contractor Typ~ ~\0~~.f;~6P :o\'a-\~ ~o\e~\~\,\ robtbc'\,' License
Mechanical ,\0 .)\\~~vjl1~ i?~w J}o~ n",7:'r.-. 460
~~O~~'.--{ o\) ~0 C.~0 ~\ i $b~LDING INFORMATION I
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# of Buildings: C'l> ~'O0~ (;e(\~ # of Stories: . ,
Primary Occupancy Group:~~ R-3 Height of Structure .
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: Range Type: ,L
# of Bedrooms: Energy Path: ~()~~\
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~f\ t\
I DEVELOPM ION I
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t>.\.f;;:,\~ ~~~ ~~ '/b's ~ e.es Rqd:
" ~S ~ 'i:)~'U x,f:Ji ~ e Rqd:
-<\ ~~'\~~~~~ ~'\~ Lot Coverage:
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r I PUBLIC IMPROVEMENTS I
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
. Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction .
Total Value of Project
Pa\?:e 1 of 2
New
Expiration Date
06/27/2005
Phone
541-726-0100
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2003-00739
ISSUED: 08/11/2003
APPLIED: 08/11/2003
EXPIRES: 02/11/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L Fees paidJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/ Adj ustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
8/11/03
8/11/03
8/11/03
8/11/03
8/11/03
1200200000000001937
1200200000000001937
1200200000000001937
1200200000000001937
1200200000000001937
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.
L Reouired Insoections ,
1 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.
Ol\i^^ ~~1\11\ 'l/11 /0'3
Owner ~r Co nt/actors Signature Date
Pa\?:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00739
COM2003-00739
COM2003-00739
COM2003-00739
COM2003-00739
Payments:
Type of Payment
Check
Receipt #: 1200200000000001937
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
MinimmnlAdjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/11/2003
3:01:31PM
Amount Paid
Item Total:
3.15
4.50
12.00
33.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65