HomeMy WebLinkAboutPermit Mechanical 2003-6-5 (2)
.
. U 1 f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00460
ISSUED: 06/05/2003
APPLIED: 06/05/2003
EXPIRES: 12/05/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2070 DONNELLY DR
ASSESSOR'S PARCEL NO.: 1703271303400
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: STEELE ROLLAND C
Address: 2070 DONNELLY DR SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor iJlOLicense
COMFORT FLOW fit, ~
STEELE ROLLAND C 411:S /)/:'!:
t.' .c....... ....."
BUILDING INF9RM'A'P19N.1I'/, S",
"vy -if/!, -!; t/, '74((
# of Stories: 180o.'CEO 0. 'lVOEI( E..~ize:
Height of Structure ~y /)8 'IT /S fit, it Floor:
Type of Heat: IT/OO 484. ~or:
Water Type: ' ~ llli"'Rl~~
Range Type: Sq ll'};~ftV'j.f1;ort
Energy Path: Sq Ft O~: 'I'
Impervious Surface Area:
Expiration Date
0612712003
Phone
541-726-0100
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
SETBACKS
I DEVELOPMENTINFORMATION I
REQUIRED PARKING
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Overlay Dist'! [ .
P:'l" "III
# Str~s!,,!,ree~}}9~:'(j1\l
Paved Drive Rqd:eS.o . Urer.
"'OA ;''''(01) I' 4do 0/01) I
% of bot Coverage:el)le'Ple(/6 i'l11r re,.,
~vu. yo;<-UOT_ t:"'1) ~ Il)e '1lJlres
<J/I;~ /lb. 001~ Os", _ Or",_ )In" .
'PUBLIC i'MPRoviMiNis'li~ ~lrOlJg;~S i'I;;~ {Jllll;;
c: . <II " lA, 0/);<>_ 14~~ el fo
el}le eOre' flvO/~!dewa}~lYPe\?_Q 1'1'
'l'ls1 '{}OI}(J.II)", e..., 0-
-800 DownspoutslDrains:'
-33.2X IVoii!/I)Ol)e- ~
'3<1<1), Ci'llio"
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
Page 1 of2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00460
ISSUED: 06/0512003
APPLIED: 06/05/2003
EXPIRES: 12/0512003
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 Fp.p.~ tiW!J
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
615103
615103
615103
615103
615103
615103
Receipt Numher
1200200000000001450
1200200000000001450
1200200000000001450
1200200000000001450
1200200000000001450
1200200000000001450
Total Amount Paid
$62.65
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.
I ~mmirp.o1l~I~l)~
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, 1 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 he 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
times during construction,
j~t~n~"~ UMAPI~
( bft::/ ~
Date ~
\J
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00460
COM2003-00460
COM2003-00460
COM2003-00460
COM2003-00460
COM2003-00460
IPments:
Type of Payment
Check
.
J
'I
61512003
Receipt #: 1200200000000001450
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heal Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid 8y
COMFORT FLOW
Received By
djb
I:37:IIPM
Check Number
Page I of I
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Date: 06/05/2003
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Confirm No
Amount Paid
How Received
In Person
Payment Total:
62.65
$62.65
cRcceipt.rpt