HomeMy WebLinkAboutPermit Mechanical 2003-9-17
.
. CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00896
ISSUED: 09/17/2003
APPLIED: 09/15/2003
EXPIRES: 03/17/2004
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2556 ROSE BLOSSOM DR
ASSESSOR'S PARCEL NO.: 1703234401400
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Instan heat pump
Owner: BRUCE FLETCHER
Address: 2556 ROSE BLOSSOM DR SPRINGFIELD OR 97477
Phone Number: 541-953-0567
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2007
Phone
541-345-2838
BUILDING INFORMATION I
# of Buildings: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: ~~~f Heat:
Primary Construction Type VN ~'to ~!ffi.Type:
Secondary Construction Type: ~ \'i- "\ :\ ~~~ Type:
# of Bedrooms: 'toi-'?\~ 'to'\\~\ ~l\I;gy Path:
....\.'- '-\\S'? ...\'to'\)
A(.' ~ c.~'r- ~? "',' .}(\\}\"
~\)~;\.'\\~~:V ~\\~S ~'Q"\ DEVELOPMENT INFORMATION'
SETB(\~\W.Cl,\\\1) S;.'\) ~ ,,-~r;;J\)' REQUIRED PARKING
Frontyard Setb~~ ~~"-~C;'\)~ '? Overlay Dist: S ':IOU j\':I Total:
Side 1 Setback: C~~-l. \'O~ # Street Trees Rqd: ~eo.u\~e 0(\ \.I\\~o~ Handicapped:
Side 2 Setback: ~ Paved Drive Rqd: 01' \'O<>I'l e o~og e se\ "0' Compact:
n,eg ....'1 \\\ 'as 'O<~ ",":?'u \.
% of Lot Coverage:,o v, ~\}\ "'~ ' \es
, i~~ \ \V ~ ~OO\'~~ "\X\OS~\\gX\ 0 \ \X\<l ,u o(\e
~\ ".,\\e ..",\,8 .....'1'(\. . _Co 0 .....("1'\\ ._'"
I PUBUlci"M~ROVEJ\,u<,l~',; ;'1'\ GC~~.. \,,0 ';'0\\\\0:""
\~u'- . 'j. . "'<' ~ ,,\'-l.O ~ ,\\\\\': . ,\\.
0""" \1 II"" (\\::.. oSidewalk,l'ype:
,I' C\.--{O _",: roe O~eQi ___.?;?;t'~
\)Q'?J \\\(\g' ,\X\? \.~CDownspoutslDrains:
c~ :oe' \C \e~ \s
(\\}~ Ge(\
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00896
ISSUED: 09/17/2003
APPLIED: 09/15/2003
EXPIRES: 03/17/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F~~s Prlid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
9/17/03
9/17/03
9/17/03
9/17/03
9/17/03
1200200000000002156
1200200000000002156
1200200000000002156
1200200000000002156
1200200000000002156
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.
I Reouired Inmeetinns I
I 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 aud do hereby certify that all
information hereon is true and correct, aud 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 described 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
timeSduring.co.n~struc.tion.. -- ~ rA_ -/a~~
~~~~ ~_._ n_ ) -/
----..
Date -_
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00896
COM2003-00896
COM2003-00896
COM2003-00896
COM2003-00896
Payments:
Type of Payment
Check
..
'Mi,~~..."",,,?,.p.o..~...'......-."'.........i.
" ..~. . "
~ . 'j
. ~~ "', 0"" '""~^><"
Receipt #: 1200200000000002156
Vescription
+ 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 Department'
Public Works Department
Date: 09/17/2003 2:25:24PM
~
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
.
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