HomeMy WebLinkAboutPermit Mechanical 2006-8-9
.
. CITY OF SPRINGFl~LD
Building/Combination Permit
PERMIT NO: COM2006-01009
ISSUED: 08/0912006
APPLIED: 08/08/2006
EXPIRES: 02/09/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 83 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703233307800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heatpump, air handler and ductwork
Residential
Owner: TERESITA EDMONDSON
Address: 83 HAYDEN BRIDGE WAY
SPRINGFIELD OR 97477
Phone Number: 541-744-1133
I CONTRACTOR INFORMATION I
Contractor aU \0
COMFORT FLO'Y"u\~eS ~ \ \\\\\\':1 ,
\0.\)~ (- -;."H" <~\t\~
O~e<;30{\ \\\eIUBU~G(.WFORMA TION I
. ",,<\\0't-\'. 0 ~eO 'o"l se ~u\\:P I ~ <;) (.. '0':1
#ofUmts: .,' . u\GSoO ?~. \\,0 U<;3'(\olJt~~~~~Pes:
Primary OccupancyGro~p::\ ce{\\";"R.!J\'(\~O 0.\eS O\ftei:i~t~ucture
. .,ol\)1 n,_v\J' CO" ~:\ ~:::::p.
Secondary Occupan.cyG!'b'Wi-Ov ~i\{\ ~e'. \'(\er ~\w--~n:
Primary Constructi?e::rY~inu ~'O."l OJ~, \~o \i..\\\t ~~,.Type:
Secondary Constnlctio~nJType:'(\e ce{\ O~e<;30{\ ~?>~~g'~ Type:
# of Bedrooms: \)0 c'O.\\\{\<;3 \: \O~ \'(\e, ,.COOO' Energy Path:
{\U~'oe~ Ce{\\e\ \S Sprinkled Building:
Contractor Type
Mechanical
License
460
Expiration Date
06/27/2007
Phone
541-726-0100
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA nON,
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
, I PUBLIC IMPROVEMENTS I
W~Jo~~~6 ~~~~~ ~~~R~~~~~i,~~~~
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
'.
.. ",,'
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01009
ISSUED: 08/09/2006
APPLIED: 08/08/2006
EXPIRES: 02/09/2007
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
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
Receipt Number
1200600000000001223
1200600000000001223
1200600000000001223
1200600000000001223
1200600000000001223
1200600000000001223
1200600000000001223
Total Amount Paid
$65.35
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.
Reauired Insoections I
Rough Mechanical: Prior to Cover
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 desc~ibed 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. '
"~ -=- --/.../
~.q--4~
<6' ,. '7 - Ob
--
Owner or Contractors Signature
Date
Paee 2 of 2
.
~of Springfield Official Receipt
ftIIlopment Services Department
Public Works Department
225 Fifth Street
Spridgfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
CO M2006-0 I 009
COM2006-0 1 009
COM2006-0 1009
COM2006-0 1 009
COM2006-0 1 009
COM2006-0 1 009
COM2006-0 I 009
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
1200600000000001223
Date: 08/09/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
35167
In Person
Payment Total:
Page 1 of 1
8:23:48AM
Amount Due
2.25
3.60
4.50
8.00
12.00
25.00
10.00
$65.35
Amount Paid
$65.35
$65.35
8/9/2006