HomeMy WebLinkAboutPermit Building 2003-6-30
Building/Combination Permit
PERMIT NO: COM2003-00S62
ISSUED: 06/30/2003
APPLIED: 06/30/2003
EXPIRES: 12/30/2003
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fox
541-726-3769 Inspection Line
SITE ADDRESS: 7249 DAISY ST
ASSESSOR'S PARCEL NO.: 1702353403900
.
\.,11 t OF SPRINGFIELD
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pnmp.
Owner: HERSCHEL D L & TRYHORN K E
Address: 7249 DAISY ST SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
COMFORT FLOW
HERSCHEL D L & TRYHORN K E
License
460
DUILUU'l., INFORMATION I
# of Buildings: # of Stories: '1.0
. Primary Occupancy Group: R-3 Height of.Structure
~~ 'I ,-,\\,"J
Secondary Occupancy Group: :!\pe'~f"l;I.eat: '0<:'
Primary Construction Type VN ",'l'l ~ ~a~~r,Typ~:;\ "r;)
'v " .~ ?_V
Secondary Construction Type: ,,00 ,\ \I-Rang~ Type:S' ",'0.
\"'-" "'0, E"\'-- "" J .,\,3
# of Bedrooms: ",.J :-"el.> ",I! nergy)Path: \V e
~ \ \0' oo~ -(,.X\O ,o~~\' 0' \X\'" 'R-o~. ~
._,<'.' .,,<;'3' "P.\. ,,\'\'\, '.0.<; ,oW~._<>..\\O
'\\0""" \~o0 v~~\'\DEVEiOPMENT'IN'F:ORMATION I
SETBACKS 'O.\\C,i:>' ,,':II,: "V \." \),. n',,-
~O\\ '" '" \\\'0', 0\e ';),00 ",?;"
\0 O\l'O .,\OV \X\0 C.~e O\~O.x~i'I~'Dist:
oog '3\\\(;\~ \0\\\ \\'i> # Street Trees Rqd:
C. <0'Oe\ "'e0\0 Paved Drive Rqd:
0~' v
% of Lot Coverage:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
New
Residential
. Expiration Date. Phone
06/27/2005 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:
I PUBLIC IMPROVEMENTS! \\t. '-l'l()~'f, .
t.'1-?\~t. \ ~\l'liie~~\ Type:
\\O,\C~" ~\, S\\t>.\..~~ ,\\\S ?~~t.~~SpoutslDralns:
,\\\S ?~~\l't.\) \)~~ \S t>.'Ot>.~\)
I\\)\~ ~'t.~C't.\) ?'t.~\\)\)'
CGWi ~\l \)t>.i
t>.~i'\
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of2
Building/Combination Permit
PERMIT NO: COM2003-00562
ISSUED: 06/30/2003
APPLIED: 06/30/2003
EXPIRES: 12/30/2003
VALUE:
.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Total Value of Project
F~p~ Paid I
Fee Description
-Mechanical Issuance Fe.....
+ 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
6130/03
6/30/03
6/30/03
6/30/03
6/30/03
Total Amount Paid
$62.65
I Plan Reviews ,
\..-111' OF SPRlN\.>t<lJ!.LD
Value
Date Calcnlated
Receipt Number
1200200000000001671
1200200000000001671
1200200000000001671
1200200000000001671
1200200000000001671
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
~~ .
I Rpouired uection~J
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 he nsed 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.
~~,~.::;~ sy..~~O '~"'-AI
G./ A"61 fD
..;
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00562
COM2003-00562
C0M2003-00562
COM2003-00562
C0M2003-00562
Payments:
Type of Payment
Check .
.
.
;A
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lit,""""'''',.."..'.
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............,...-,. ," .-.
Receipt #: 1200200000000001671
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment 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: 06/30/2003 11:43:15AM
Amount Paid
Item Total:
3,15
4.50
12.00
33.00
10.00
S62.65
How Received
10 Person
Payment Total:
Amount Paid
$62.65
S62.65