HomeMy WebLinkAboutPermit Mechanical 2003-8-13
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00740
ISSUED: 08/13/2003
APPLIED: 08/11/2003
EXPIRES: 02/1312004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1349 MODOC ST
ASSESSOR'S PARCEL NO.: 1703362202200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: PARADA HENRY A & MARIA
Address: 1349 MODOC ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
SETBACKS
Contractor License Expiration Date Phone
HOME COMFORT HEATING & AIR 84164 06/2512007 541-345-2838
BUILDING INFORMATION . ~O\) \~ ~
o..\)\~eS \)~\\"\ ~
# of Stories: \a.~ ~e O~0QPf\ ~0'L\'1~i~e:
Height of S~tr. ~~ 'O'i \'rll; ~SS e.~0 9J~~,~ st Floor:
Type,~~a :0~\00 OS9 ~\) ~ Op..~ ~ '2nd Floor:
~~~r ~. e'('\~ ~~O\)~ 0\ \'fo.0 ~cJ\lEBasement:
IX '~~~~~oO'\~~ cor;\e~'fo.0\0\el~lQ~rage/carport
\0 \~~'Jl~I}.~'\ 0'O\9.\f\ ~o\e" ~ ~ ~O~q Ft Other:
~o"\O~~ 9 ~a.'J ff\va~' ~ ~ U\~"X ~~btl\hlPervious Surface Area:
.... ..In\) ,.g"?t}O -fif')~"
I DEVEnQ~~~~~~rotrr
'(\\)~'O Ce'(\
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
R-3
Contractor Type
Mechanical
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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I PUBLIC IMPROt~l\1ENTS I~\..\.. ~~\1~~?~,,~\ \ tOi
\\\) \ \ ot."~\\ ~~~\)t.lls1~~~~~:
\~\<2l " \1t.\1 \.l \~'lJ
'~S\"(I.Q~ c,t~ 0" I..\~~nspouts/Drains:
~CQ~~t~ ~~ ?t.~
~~'I( '\ ~
Notes:
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal!:e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Admini~trative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
l Fees Paid'
Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
$62.65
I Plan Reviews'
Date Paid
8/13/03
8/13/03
8/13/03
8/13/03
8/13/03
8/13/03
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2003-00740
ISSUED: 08/13/2003
APPLIED: 08/11/2003
EXPIRES: 02/1312004
VALUE:
Receipt Number
1200200000000001949
1200200000000001949
1200200000000001949
1200200000000001949
1200200000000001949
1200200000000001949
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 .
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
tlm~d.rl~2~
Owner or Contractor ignature /
(J
Pa~~e 2 of 2
S- -/0 -c:;:/ ~
--
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00740
COM2003-00740
COM2003-00740
COM2003-00740
COM2003-00740
COM2003-00740
Payments:
Type of Payment
Check
Receipt #: 1200200000000001949
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee~
Paid By
HOME COMFORT
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/13/2003
10:31:15AM
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65