HomeMy WebLinkAboutPermit Mechanical 2004-12-23
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. CITY OF SPRINu,I'lJ!.LlJ
Building/Combination Permit
PERMIT NO: COM2004-01491
ISSUED: 12/2312004
APPLIED: 12/07/2004
EXPIRES: 06/23/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 5744 Ridge Crest Dr
ASSESSOR'S PARCEL NO.: 1802041401304
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Change out heat pump
Owner: MARY TULL
Address: 5744 RIDGE CREST DR SPRINGFIELD OR 97478
Phone Number: 541-747-5171
'CvIHnACTORINFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
156678
460
Expiration Date
08/1 4/2005
06/27/2005
Phone
54 I -686-5444
541-726-0100
BUILDING INFORMATIONJ
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paeelof2
~
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanicallssuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01491
ISSUED: 12/2312004
APPLIED: 12107/2004
EXPIRES: 06/23/2005
VALUE:
Total Value of Project
Fp.p.~ P,llirlJ
Amount Paid
Date Paid
Receipt Number
1200400000000001699
1200400000000001699
1200400000000001699
1200400000000001699
1200400000000001699
1200400000000001785
1200400000000001785
1200400000000001785
1200400000000001785
$10.00
$4.50
$3.15
$12.00
$33.00
$4.50
$3.15
$43.00
$2.00
12/7/04
12/7/04
12/7/04
12/7/04
12/7/04
12123/04
12/23/04
12/23/04
12/23/04
$115.30
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.
I Rp.olJiI;sd rn~~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
. .
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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.JIL.ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
1200400000000001785
Date: 12/23/2004
I:15:58PM
Job/Journal Number
COM2004-01491
COM2004-01491
COM2004-01491
COM2004-01491
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
Paid By ,
, ROB'S ELECTRIC
Received By
Ikw
Item Total:
Check Number Authorization
Batch Number Number How Received
000 I 098513 In Person
Payment Total:
Amount Due
43,00
2.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65
12/23/2004
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