HomeMy WebLinkAboutPermit Mechanical 2003-7-10
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Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00571
ISSUED: 07/10/2003
APPLIED: 07/01/2003
EXPIRES: 01/10/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 815 ROWAN AVE
ASSESSOR'S PARCEL NO.: 1703342200907
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: InstaU heat pump
Owner: CLARKE TIMOTHY W & SHIRLEY L
Address: 815 ROWAN AVE SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
HOME COMFO~.~1ATING & AIR
CLARKE TIM~~ & SHIRLEY L
~ ~~"j.....iruILDING INFORMATION I
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# of Buildings: R..~ Q.<<;;; # # of Stories:
Primary Occupancy Group: <S'.jP..~ Height of Structure
Secondary Occupancy GrouP.O' ~ <o~ Type of Heat:
Primary Construction TYI}!;~'?;'.if ~~. Water Type:
Secondary Construction ~p~' i(:' {;;,5 Range Type:
# of Bedrooms: ~;,ff is> 5:>'::5 Q./$ Energy Path:
~ Q.<<;;;~<!f ~
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'" ~ -$'~
SETBACi& &' ~
Frontyard Setback: ~
Side 1 Setback:
Side 2 Setback:
License
84164
Expiration Date
06/25/2007
Phone
541-345-2838
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~-\' "....,z/ Lot Size: r
. .... ~ .
. J ....;", ... S.q Ft 1st Floor:
,,- ~ G~ ....',.Sq Ft 2nd )1loor:.
",,' '~u:....;. '.,' ..' ~qft ~asement:
,. ~. .....( .,'" :.<;'Sq Ft Garage/Carport
.~ ...,.....
~~ ..f,." ;< ,.Sq,Ft Other:
~ ... " ,::' ~-' ,.,' Impervious Surface Area:
,....
I DEVELOPM...". mrUK1Y1~T~O~. I',
.... ....
.:) . 0 \.
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Page I of2
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CITY OF SPRINGFu'LlJ
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Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00571
ISSUED: 07l10f2003
APPLIED: 07/01(2003
EXPIRES: 01(10/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fp.p.s P'Iid 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
7/10/03
7/10/03
7/10/03
7/10/03
7/10/03
1200200000000001744
1200200000000001744
1200200000000001744
1200200000000001744
1200200000000001744
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.d Insnp."UlwLI
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When aU 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 aU 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 tbe proper time, that each address is readable from the
street, that the permit card Is located at the front of tbe property, and the approved set of plans will remain on the site at all
timeSd;;A~ ~ 7-/C9V3
Owner;" Contra ors SI'natuife. Date
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Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0057I
COM2003-0057I
COM2003-0057I
COM2003-0057I
COM2003-0057I
Payments:
Type of Payment
Check
rif_J
Receipt #: 1200200000000001744
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Received By
jmp
Check Number
Batch Number Autborization Number
Paid By
HOME COMFORT
98678
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/10/2003
1l:34:38AM
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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