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
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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
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# of Stories: 5 ~p\) .~~~ .
Height ~\,\e ~ 'U~ \O<{\'
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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
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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