HomeMy WebLinkAboutPermit Mechanical 2003-1-7
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-000IS
ISSUED: 01/07/2003
APPLIED: 01/07/2003
EXPIRES: 07/07/2003
VALUE:
Status: Issued
225 Fifth Street, Springfiekl, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 SPRINGFIELD OR 97478
Phone Number: 541,870-8003
Phone Number: 541-870-8003
Contractor Type
Electrical
Owner
I CONTRACfOR INFORMATION I
Contractor I;.i.I1~~\'l Expiration Date
JB ELECTRIC (eo.lli'1l"~~\\ \o-(l.~ 03/14/2004
DEWAYNE HAMMONS ,,\..no~:'~"'Q~~e,~.e~ll\o~,
I BUlIIDING.INJ'ORMa.~.u"t~ _u\$S
I U' t' ..." . i(\0' ^0
p;.\'<--' ~0S."~0(' '\~~OUYJ' 0' ~~O"
o\\O'llI~~ ~S&;ri~\~ d:l~\e~~e\~0,~\~~orot Size:
\ 'i..\\\C Se.II}~1' o'O\0\fI ~o\e"~ ~\'l ~O\\ Sq Ft 1st Floor:
~O O~ 1I-f<iiel.\tte~,\l ofl'U\~ .'l.~.~' Sq Ft 2nd Floor:
\fI O~O. ~~"O~~ O:~'!l'l,; Sq Ft Basement:
\) c#ll i\llf~:~\s\~O Sq Ft Garage/Carport
{\Jtil ~ Sq Ft Other:
1m pervious Surface Area:
Phone
541-687-5770
541-870-8003
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
I DEVELOPMENT INFORMATION I
.REQUIRED PARKING
-..NC)~'f-
Overlay Dist: ,\'\'t. ~c'filtal:
# Street Trees ~'?\~'t. \T ~\, \'0 ''1Iandicapped:
Paved Dr~ Rqd: ~t>-\.\. t: \,\\'0 \l't.~ x.\) TC)~ Compact:
O/o~~'~~r-ll\~~\)t.~ ~'Ot>-~\)C)~
\\'\\'0 ~\1.~\) "'~ \'0
, \",'r\\) ^c.\, \J -t'~'
IPUBLlC IM,h~o~E~Ikr~f '
,,~':1 .-
"," Sidewalk Type:
Downspouts/Drains
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
Square Foota!!e
Value
Date Calculated
I of 2
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.
CITY OF SPRlr~tJnl';LlJ
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: 01/07/2003
APPLIED: 01/07/2003
EXPIRES: 07/07/2003
VALUE:
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Receipt Number
$4,60 1/7/03 1200200000000000504
$3,22 1/7/03 1200200000000000504
$43,00 1n/03 1200200000000000504
$3,00 1/7/03 1200200000000000504
Total Amount
$53,82
I Plan Reviews ,
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.
IRpo~
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certil)' 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 certil)' that only contractors and employees wbo 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,
Owner or Contractors Signature
Date
2 of 2
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In12003
11:32:39AM
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Recei pt
Receipt #: 1200200000000000504
Date: 01/0712003
.
Line Items:
Job/Journal Number
Description
Amount Paid
COM2003,OOO 15
COM2003,OOO 15
COM2003,OOO 15
Add, Alter, Extend Circ
43,00
3.00
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
3.22
4.60
COM2003,OOOl5
+ 10% Administrative Fee
Line Item Total:
$53,82
Payments:
Type of Payment
Paid By
Check
Cash
JB ELECTRIC
JB ELECTRIC
Received By Check Number Confinn No How Received Amount Paid
djb In Person 52.90 .
djb In Person 0.92
Payment Total: $53,82
Page I of2
cReceiptrpt
ti..~
,
1n/2003
II :32:39AM
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000504
Date: 01107/2003
.
Lme Items:
Job/Journal Number
Descriotion
Amount Paid
COM2003,OOO IS
Add, Alter, Extend Circ
43,00
COM2003-000 IS
COM2003,OOOl5
Add, Alter, Extend Circ Ea Add
3.00
+ 7% State Surcharge
3.22
COM2003-000 IS
+ 10% Administrative Fee
4,60
Line Item Total:
$53,82
Payments:
Type of Payment
Paid By
Check
Cash
JB ELECTRIC
JB ELECTRIC
Received By Check Numher Confirm No How Received Amount Paid
djb In Person 52.90 .
djb In Person 0,92
Payment Total: $53,82
Page 2 of2
cReceipt.rpt