HomeMy WebLinkAboutPermit Mechanical 2004-2-11
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00163
ISSUED: 0211112004
APPLIED: 02/1112004
EXPIRES: 08/1112004
VALUE:
SITE ADDRESS: 3324 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221205100
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: MIKE FAIRCHILD
Address: 3324 RALEIGHWOOD A V SPRINGFIELD OR 97477
Contractor Type
Mechanical
Phone Number: 541-747-8264
I CONTRACTOR INFORMATION I
Contractor
COMFORT FLOW
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
License
460
BUILDING INFORMATION'
Expiration Date
06/27/2005
# of Stories: Lot Sizc:
R-3 Height of Structure Sq Ft 1st Floor:
Typc of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
ATTENTION:Oregon l!rop~!!nS:Su!~~.~~rea:
. II . ;-- ~-=:~o\t~u uy lilO ......""'~...... e....."...1
I DEVELOPMENT INFO~i\:TlON '1Ir. Those rules are set fort
~~OAR952-001-00' Q thfoUgh OW?Y!JiEYj'ARK1NG
. Overlay DiS5bqo. You may obtain copies cJtdl,lll: ~ules I
# Street ~rees ~~~ing the center, (Note: theH8n~~8f1~€d:
Paved Drive ~'L(jrhber for the Oregon Utility(JlQmpactlllon
% of Lot Coverage: "M'M;Q 1_Rnn_~"?2344),
I PUBLIC IMPROVEl\>,.." 11' I
',:"~' r'\:,
~...V~~\.:l~.
Sidewalk Type:
THIS PERMIT SHAbbJ'~lPnfsliirt\lfs:WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Total Value of Project
Paeelof2
.
.
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00163
ISSUED: 0211112004
APPLIED: 02111/2004
EXPIRES: 0811112004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.Ff'f''' P3irl I
Fee Description
-Mechanical Issuance Fe.....
+ 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
2/1lI04
2/1lI04
2/1lI04
2/1lI04
2/11/04
2/1lI04
1200400000000000193
1200400000000000193
1200400000000000193
1200400000000000193
1200400000000000193
1200400000000000193
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 he made the same working day, inspections requested after 7:00 a.m, will be made the following work
day,
I Reouirerl Tnsnectinns .
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 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 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
tim during constructiiJ
tI--- (") -;)., J 1/ /0 U,
, ~
Owner or Contractors Signature Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00l63
C0M2004-00163
C0M2004-00163
C0M2004-00 163
COM2004-00 163
COM2004-00163
Payments:
Type of Payment
Check
~.
~~~~~' ,~'
~.--. !
. . .
, .
. .
, ,
., ,
.-.... -
"'"'~~~,.-.. -
Receipt #: 1200400000000000193
Description
+ 7% Stale Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fe.....
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
COMFORT FLOW
24807
City of Sprill'gfield Official Receipt
Development Services Department .
Public Works Department
Date: 02111/2004 1I:36:05AM
.
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
$62,65
How Received
Amount Paid
.
In Person
Payment Total:
$62.65
$62.65
.