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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 . .