HomeMy WebLinkAboutPermit Mechanical 2003-1-22
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CITY OF SPRINGFIELD'
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00015
ISSUED: 01122/2003
APPLIED: 01107/2003
EXPIRES: 07/22/2003
VALUE:
SITE ADDRESS: 5704 RIDGE CT
ASSESSOR'S PARCEL NO,: 1802041106700
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: DEWAYNE HAMMONS
Address: 5704 RIDGE CT SPRINGFlEW OR 97478
Phone Number: 541-870-8003
Phone Number: 541-870-8003
iCONTRACfORINFORMATlON'
Contractor Type
Electrical
Mechanical
Owner
Contractor
JB ELECTRIC
EUGENE HEATING & COOLING
DEWAYNE HAMMONS
BUILDING INFORMATION.
License
104929
149452
Expiration Date
03/14/2004
10/22/2005
Phone
541-687-5770
541-726-7654
541-870-8003
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
~
.,Q:DlWlmOPMENT INFORMATION I
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~ ^,O ra IJt' ",,""
0<:i: ~0"J ~0 0.<.) Ove!;lav Dist'
~ 0 I/>' g;:J~' ~ -~ ' ~
#' ",,0 ~0"" ~ 0 #~~tr~Trees ~ ~
0"''' ~-..: 0....v ",,0 ~-s' #~e'd Drive Rqd: ~~ ~
~~~~~~~ ~~~~
Rearyard Setback: ,~~ ~1lJ ",~O ~O ~0 .~0 ~/o.g!.'Lot Coverage: ~ _~, <t..~-
Solar Setbacks: O~ ~:P 0....' ~t;;;)-..: <,0 1>,0' ,~~ ~ ~ ~. ~
.0,: .1/>' ~ ,<,\ '.'" ,0 .~ ^~ _~ ^<<;_~
A<V"'" ....~<lJ~CJJr;::,t;;;)"- cQ":~:-:cl~JJ.BtIC lMPROVEMENT~r-~$> ~~l
~. ,:f- ~O n; 'l>~ 0<::' O....1lJ ~- !" ~ .fb~
Street ' ~;P. vI/>' ~<.) ~ 0 G 0 " ~~ ^<<; '{>ldewalk Type:
~ ;,;~ ~ 4,Ov l<::' -s' .~ ~ -:> i&' ~ S),
Storm Sewer Avat!iilie:"'s:>' .;: ,0.... i$:-~ tfi-. ~ ~.:s ~ ~wnspouts/Drains
Special Instruction:~ s:>OS ~ ':sl CJ'li ~ <:1,4f ~ <$I <:1,<<;
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Notes: <::' ,,~ ~~ ~ 'i;:,<::'J
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SETBACKS
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Total:
Handicapped:
Compact:
I of 3
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Desc ription
Type of Construction
$ Per Sq Ft
Square Footaee
Total Value of Project
I Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date
$4,60
$3,22
$43,00
$3,00
$10,00
$4,50
$3,15
$8,00
$12,00
$25,00
1/7/03
1/7/03
1/7/03
1/7103
1/22/03
1/22/03
1/22/03
1m/03
1/22/03
1/22/03
Total Amount
$116,47
I Plan Reviews ,
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00015
ISSUED: 01/22/2003
APPLIED: 0110712003
EXPIRES: 07/2212003
VALUE:
Value
Date Calculated
Receipt Nwnber
1200200000000000504
1200200000000000504
1200200000000000504
1200200000000000504
1200200000000000585
1200200000000000585
1200200000000000585
1200200000000000585
1200200000000000585
1200200000000000585
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 InsDections I
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete,
3 Rough Mechanical: Prior to Cover
4 Final Mechanical: When all mechanical work is complete,
2 of 3
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00015
ISSUED: 01/22/2003
APPLIED: 01/07/2003
EXPIRFS: 07/2212003
VALUE:
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 wiD 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 strl7that the pe7firmwcard is located at the front of the property, and the approved set of plans will remain on the site
at all t m during con ction,
^ ~A' ' _ - J - 2 G - 0 3
Owner or C.lhtractors Signature Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003,OOO 15
COM2003-000 15
COM2003,OOO 15
COM2003-000 15
COM2003,OOO 15
COM2003-000 15
Payments:
TWe of Payment
Cash
Change
Paid By
Receipt #: 1200200000000000585
Date: 01122/2003
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Cbeck Number Confinn No
DEW A YNE HAMMONS
DEW A YNE HAMMONS
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Page 1 of2
1/22/2003
1:18:28PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
8.00
12.00
25,00
10,00
3.15
4.50
$62,65
.
Amount Paid
80.00
(17.35)
$62,65
How Received
In Person
In Person
Payment Total:
cReccipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
LIRe t terns:
Job/Journal Number
COM2003-000 15
COM2003,OOOl5
COM2003-00015
COM2003,OOOl5
COM2003,OOO 15
COM2003,OOO 15
Payments:
Type of Payment
Cash
Change
Paid By
Receipt #: 1200200000000000585
Date: 01122/2003
Description
Air Handling Unit Up to 10,000
Heat Pump
MinimwnlAdjUSbnent Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
DEW A YNE HAMMONS
DEW A YNE HAMMONS
djb
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Page 2 of2
1122/2003
1:18:28PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
8.00
12.00
25.00
10,00
3.15
4.50
$62.65
.
Amount Paid
80,00
(17,35)
$62,65
How Received
In Person
In Person
Payment Total:
cReceipt.rpt