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HomeMy WebLinkAboutPermit Mechanical 2003-8-22 (2) .. . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00785 ISSUED: 08/22/2003 APPLIED: 08/18/2003 EXPIRES: 02/22/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2233 DORNOCH ST ASSESSOR'S PARCEL NO.: 1703272207501 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and eleetric furnace Owner: HOISINGTON PHILIP E & EDNA Address: 2233 DORNOCH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I , Storm Sewer Available: Special Instruction: Contractor HOME COMFORT HEATING &.MR'.;. ..... . ..~.... I BUlLDING,INFORMA TlON I III ~ ~"'r.~0YJ 0 "'v r/;Ov # of Buildings: 0"\'<>' .;s.'* ll!&!O:ies:~<:i ~0'" \. Primary Oceupancy Group: ~j.0\$ 0 'Q'l JIe~~~tci~~uct!;\S!,-0 Secondary Occupancy Group: O~. '0,,\0 -<>r:-O'5 Type ofdleat:~'V~ ",\\0" -<\: .... IT , ..,...:iL At;., ..0.\"". (JV' Primary Construction Type ~~' ",'IN ~e~' :,\O~'Water'Type: o\~~ Secondary Construction T):~:.\ ~J.e (;e":,\,oo \"R~~geType~. ~'\. YO'" 0" f;) ~'?). \0 .,..,. \ ",w" # of Bedrooms: '0\'1. 'lJ.~ r/;<:l O'Q ~ E)iter.g)\ Patb:.- o\~\'? <>. '?J<:i ~'lJ.'\ e,,\0 '0~0\' ,~'5Z:v Ni _"-'- ,~U _ G ("\~ _,,0 _ " \.'\', ..-... .i_ '\ f;)'?J0' ~\,,~ ,h'DEYELOPMENT INFORMA TlON , \:j c,'<>' 'S:>e~ e'" ~~ G " Overlay Dist: Total: # Street Trees Rqd: .tll!fI.'lHcapped: Paved Drive Rqd: '\\\~ 'C\~)'ct: % of Lot Coverage: ~~ '* ~'\ {o ~ ~~\ ~~'?' &,.\) ...r;s _. ~,~\ \. -<:->-" 1'~ I PUBLIC IMPROY.E~T,l ';)V:,~\)\:~ 't-'Q't-"" "'~. <<.... ":."\l r8H?'".o,. \\\\"o R'l~~ S:,\) ";..~W'~ Type: 't-V:,\~~\.~C;\)~8ownspoutslDrains: c,\:l >'l. \'O~ 't-~ Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Contractor Type Mechanical License 84164 Expiration Date 06/25/2007 Phone 541-345-2838 SETBACKS REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspeetion Line Fee Deseription -Mechanical Issuanee Fee- + 10% Administrative Fee + 7% State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical Total Amount Paid I Fees Pllirl I Amount Paid Date Paid . CITY OF ~r K1r'H.JI'l~LD Building/Combination Permit PERMIT NO: COM2003-00785 ISSUED: 08/22/2003 APPLIED: 08/18/2003 EXPIRES: 02/22/2004 VALUE: Receipt Number 1200200000000001997 1200200000000001997 1200200000000001997 1200200000000001997 1200200000000001997 1200200000000001997 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. $10.00 $4.50 $3.15 $12.00 $12.00 $21.00 8/22/03 8/22/03 8/22/03 8/22/03 8/22/03 8/22/03 $62.65 I Plan Reviews I I Reouirerl Insoections I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further eertify 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. 1 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. //~a:;r~ ~ 2i-Z2--03 Own;':"r Co~;;;~o~s tJn'ture Date Pa~e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00785 COM2003-00785 COM2003-00785 COM2003-00785 COM2003-00785 COM2003-00785 Payments: Type of Payment Check Iit-~~,'""~KLD.:..-~.-.._._. 1 : ..' ! J . ...,.--...... ....e"""" .' Receipt #: 1200200000000001997 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Heat PUIl1p Minimum! Adj ustment 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 Departmeni Date: 08/22/2003 9:38:56AM.' Amount Paid Item Total: 3.15 4.50 12.00 12.00 21.00 10.00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65 . .