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HomeMy WebLinkAboutPermit Mechanical 2003-3-26 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00211 ISSUED: 03/26/2003 APPLIED: 03/26/2003 EXPIRES: 09/2612003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2466 SHADYLANE DR ASSESSOR'S PARCEL NO.: 1703224408000 Springfield TYPE OF Heating System PROJECT DESCRIPTION: Install electric furnace and heat pump TYPE OF USE: New Residential " .tlC)~~ !pUBLIC IMPROVEMENTS I ' \\lot. \~ \~~ \<b'~O' . . ~t.~~~~t.\\~\ Q~ \\\)'\C~~~\\ ~~\~~~\\)\}~~\) i \\"\\~ \'~\\\1.'C~'1\~O,,~rams ' ~'0\\"\~t.~c,'C\) ~t.\\\O\). c,OW' \?>\) \)~ ~W( Owner: MYERS DALEL & VICTORIA J Address: 2466 SHADYLANE DR SPRINGFIELD OR 97477 I CONTRAcrOR INFORMATION. Contractor Type Mechanical Owner Contractor HOME COMFORT HEATING & AIR MYERS DALE L & VICTORIA J License 84164 # of Buildings: Primary Oceupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: I BUILDING INFORMATION I \C. # of Stories: 5 ~p\) .~~~ . Height ~\,\e ~ 'U~ \O<{\' Ty:~e ~o'f H~~P e 5e\ R)CS\ VN C'\oWate:.J:\~'y,'p'e.,; '3-\'). cJ6~'es '0, .~e~ '<\'1 ,\,0 l'I...1\, .\\ N'~ :\.eRan~e2'FYP'eor e tv ~e ,\\\,)\ o.o'Q EYrTh(rgyc}!.i21h:o\~ ~~O 'O~ ",\i;;.\~ ~ec:,~ ,.e'<. '()'\)\' '~e'?J \e\e.~(j'3-\" '(A\ _~N'<~ ^Ge~_~\)'\ ..<f'.(jo~f'.~e.~o~" \O~~\(j'().'\.~I1DE~~&B'i1WDNirnFih.mXTION . ~O ~~ \) ,. e" e'i>- '6..r W' 0 ~.~ 0 ~e ~~e O\' ~'n~\)' \)\)qj :-.\\'(\~ '0'< 0ve~lay Dlst: (j'?> et \ v:>;\ ~'O c,e#.Street Trees '(\~ Paved Drive Rqd: R-3 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Footage 1 of 2 Expiration Date 06/2512003 Phone 541-345-2838 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: Value Date Calculated CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00211 ISSUED: 03/26/2003 APPLIED: 03/26/2003 EXPIRES: 09/26/2003 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 I Fees Paid I Fee Description Amount Paid Date Receipt Number -Mechanical Issuance Fee- $10.00 3/26/03 1200200000000000894 + 10% Administrative Fee $4.50 3/26/03 1200200000000000894 + 7% State Surcharge $3.15 3/26/03 1200200000000000894 Air Handling Unit Up to 10,000 $8.00 3/26/03 1200200000000000894 Furnace - up to 100,000 btu $12.00 3/26/03 1200200000000000894 Heat Pump $12.00 3/26/03 1200200000000000894 Minimum/Adjustment Mechanical $13.00 3/26/03 1200200000000000894 Total Amount $62.65 I Plan Reviews, 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 Insuections . 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 OCCUP ANCY 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 ~ing cons . n., ~ //Z ~ ) 3-::24~~ Owner ;;; C';nt~';:;;:'; S.;".,Jre u' ------ ... ... Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00211 COM2003-00211 COM2003-00211 COM2003-00211 COM2003-00211 COM2003-0021 I COM2003-00211 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000894 Date: 03/26/2003 Description Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No HOME COMFORT djb Page 1 of 1 3/26/2003 2:53:31PM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 12.00 8.00 12.00 13.00 10.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Payment Total: cReceipt.rpt