HomeMy WebLinkAboutPermit Mechanical 2003-7-29
.
. CITY OF I:)rKlI'H.Jl'IELD
Building/Combination Permit
PERMIT NO: COM2003-00654
ISSUED: 07/29/2003
APPLIED: 07/23/2003
EXPIRES: 01/29/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 397 SCOITS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271309700
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Rcsidential
PROJECT DESCRIPTION: Install heat pump
Owner: JOSEPH PARSON
Address: 397 SCOITS GLEN DR SPRINGFIELD OR 97477
Phone Number: 916-705-3274
1 CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License Expiration Date
HOME COMFORT HEATING & AIR 84164 06/25/2007
1 BUlLDINGINFORMATIONI ~\J~~,\ '
,\y..Y.. ~\J
# of Stories: S::. ~ ~'f.~:me:
Height of Structure Y..~~ '?\.~ ~~'iPt'ist Floor:
Type of Heat: 'X-.~",,,, '\~S S)\J~'Sq Ft 2nd Floor:
Water ):y,gti. ~ s S)Y..~ &~~ Sq Ft Basement:
Ra~!~TYI!~~"'~ \.\J \J~ ~ ,S ~\J' Sq Ft Garage/Carport
Energ~~af~",\\: x..\J \i ",,\i Sq Ft Other:
, ':0'\~. ....\.~\j ....~ '?~ Impervious Surface Area:
~ .,"" _ ~l"
....... }-......
I. DEVELOPMEN~.INFdRMATION I
Phone
541-345-2838
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Total:
Handicapped:
Compact:
~\O
O,u\~eS '10\)\\\\\'1 ~
'~"'!. ~e .r...o.O~ _",\\9 _"
I PUBLIC IMPROVEMENiI'S'.p:'~'I \'CI~ :;eS ~': g":l'2-.v; \.
v \ ~I> c.0~ OP-\' u\Q
.....-c<(:.~\ \ S ~OOV ~ :~'CIrSi<LtWY1k'T'Yi)\0 1 '/(\0(\0
, Il'" ",,~u\e Ge~0 :\0\'CI'~\6S0''!fi\0~ ~\\O(\
\O\\~ ~\\O~ J:)O:\.oO rI.~\Rll.'1~~~~ts J~~:
~0\\'\C~9":l"l; ~'IO~ 0"~0 \)\\\\~?JAA~'
\(\~~.~ou;0C0~~~0~~~.?J?J~'2: '
00 _~X\<'~. \O~ \'CI~ ,Co :\.~
";:!-'~ ~\.v
I V I . D <\\). . vI
a uahon escrlOtlOn
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Datc Calculated
Total Value of Project
Pa~e I on
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees PfclilU
Amount Paid
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
7/29/03
7/29/03
7/29/03
7/29/03
7/29/03
. CITY OF SPRIr~ut<IELD
Building/Combination Permit
PERMIT NO: COM2003-00654
ISSUED: 07/29/2003
APPLIED: 07/23/2003
EXPIRES: 01129/2004
VALUE:
Receipt Number
1200200000000001846
1200200000000001846
1200200000000001846
1200200000000001846
1200200000000001846
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.
$62.65
I Plan Reviews I
I Rpl1mjrerorl II' soections .
"wIIIiiiIii lr II . nr ..
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 tbe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made oCany 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.
~d#:*
Owner or contrl~::/g~ure O.
~
Paee 2 of2
7-&::;e;::J' '=?
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00654
COM2003-00654
COM2003-00654
COM2003-00654
COM2003-00654
Payments:
Type of Payment
Check
1IpIUN~..,.,'!.~~ """,1.
lit,
", J
.',""..,' i
; "
..",.,_",.,,,,,",,><~',, . ......_,_.1 . on,'
Receipt #: 1200200000000001846
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
HOME COMFORT
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmen\
Public Works Department
.J
Date: 07/29/2003 IO:50:30AM
Amount Paid
Item Total:
3.15
4,50
12.00
33.00
10,00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62,65
$62.65
.
.