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
.
.