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HomeMy WebLinkAboutPermit Mechanical 2003-1-7 . J "-~"~'r~I!'!"~" .' , " \ . . 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 ~ -iti:!,^ " ~" . . 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 U;'~ 11&:, .. _ i , 'm'" ,..~:;i 'c,_,....1 '.."..-".. "~'"'''-' 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