HomeMy WebLinkAboutPermit Mechanical 2003-9-4 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF M"J:Ul'lut<1ELD
Building/Combination Permit
PERMIT NO: COM2003-00855
ISSUED: 09/04/2003
APPLIED: 09/04/2003
EXPIRES: 03/04/2004
VALUE:
SITE ADDRESS: 2532 DUMAS DR
ASSESSOR'S PARCEL NO.: 1703234400120
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: MATTOX PffiLLIP D & BARBARA
Address: 2532 DUMAS ST SPRINGFIELD OR 97477
, CONTRALlvn.mrORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
Phone
541-726-0100
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
S(leciallnstruction:
Notes:
Description
License
460
BUILDING INFORMATION'
Expiration Date
06/27/2005
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: QSq..Ft,Otbef:)
".oregon \aIN re ..:Imp'e';'io\i~"'S)\rIace Area:
___1'"'".i\.\1 \U\~. J. lo-.~I \he Ulo~- ..... fnrt'
I DEVELOPMEN;fdNFORMATIONtl;se ru\e~~R 952.00:
Notifica.\IUI' - - 1_0010tnro~gh f the MQUIRED PARK,ING
. n 952-00 . copIes 0 . ""e
Over\~y;Dist: (flay obta.ln . the tele\Total:'
# Streetjl'iee~Rii'd: e center. tNoteu't'\'\Y NotiHjin'd~~pped:
- . \"~r. tfl n \ \
Paved Drlye Rqil: the Orego 2344)!:ompact:
,.mberlor . 1 800-332-
% of LotrCoverag!:Janter IS - ,
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsffirains:
NOTICE: EXPIRE IF THE WORK
THIS PERMIT ~~~~~ THIS PERMIT IS NOT
{l.UTHO~.I~:Pr no Ie:: ARANOONEO FOR
I V I . D ':":',:':':'~;i-o~~ PERIOD.
a uatlOn escr,lOtiowl "
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
~
Value
Date Calculated
Total Value of Project
Pa~e I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00855
ISSUED: 09/04/2003
APPLIED: 09/04/2003
EXPIRES: 03/04/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.~ Paid I
Fcc Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
9/4/03
9/4/03
9/4/03
9/4/03
9/4/03
9/4/03
1200200000000002060
1200200000000002060
1200200000000002060
1200200000000002060
1200200000000002060
1200200000000002060
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.
~ Rp.OI~p.dion~ I
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 descrihed 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
tim~:ng~= 1/~(03
Owner 6r Con factors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00855
C0M2003-00855
COM2003-00855
C0M2003-00855
C0M2003-00855
C0M2003-00855
8E}~ ~
Wir...i
.~".._.w",*",--,,~ ..
Receipt #: 1200200000000002060
Description
+ 7% State Surcharge
+ 10% Administrative Pee
Air Handling Unit Up to 10,000
Heat Pwnp
Minimum! Adjustment Mechanical
-Mechanical Issuance Pee-
Payments:
Type of Payment Paid By
Check COMFORT FLOW HEATING
Received By
djb
l.:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Departme~.t
Date: 09/04/2003 1l:12:07AM
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
.
.