HomeMy WebLinkAboutPermit Mechanical 2003-9-4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPKll'ljl.FIELD
Building/Combination Permit
PERMIT NO: COM2003-00854
ISSUED: 09/04/2003
APPLIED: 09/04/2003
EXPIRES: 03/0412004
VALUE:
SITE ADDRESS: 1428 QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703253200900
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: PLAUTZ LOIS MAE
Address: 1428 QUlNAL T ST SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor
COMFORT FLOW
Phone
541-726-0100
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Dcscription
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2005
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:,o
r,Imperiilili's.'Surface Area:
_~n laIN Q'-\" _~ IllillW
I DEVELOPMENT INFORMATioNII.bV tMll~~;~;e 50: 1~;;.
10110W I u'-- nter. \ nose r n O~f\REQmRED PARKING
."~ation ce 010tnrollg n- rIlleS t
OverlayjDist:' "'2_001-0. iaS 01 t Totalhe
# Stree~rTfees\R~d: "'a" obtaIn COPt", tM taIHa~dicap'ped:
V-)U '" .J tNo..... ".,..~l\t;"
Paved D~iyeIRq,d: ne center. UtiliW I\IlG:ompact:
"ailIng t oregon 344)
% of Lot Coverag~: lor tne 800-332-2 .
nll{1'\I.)~'centeriS 1-
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
DownspoutslDrains:
NOTICE: IT SHALL EXPIRE IF THE WORK
THI? ,~~~~[n IIMn~~ THIS PERMIT IS NOT
~.... ,v,I,- '- NDONEU rUK
I Valuation DescriDt16h'JIAENCE~ Op~~~~BA
f\1~t~800A, .
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Dote Calculated
Value
Total Value of Project
Page I of2
.
. CITY VI< ~t't<.lr\jljt<1~LD
Building/Combination Permit
PERMIT NO: COM2003-00854
ISSUED: 09/04/2003
APPLIED: 09/0412003
EXPIRES: 03/04/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.~ P~irl I
Fcc Dcseription
-Mcchanicallssuanee Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Hcat Pump
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
914103
914103
914103
914103
914103
914103
Receipt Number
1200200000000002061
1200200000000002061
1200200000000002061
1200200000000002061
1200200000000002061
1200200000000002061
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 be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
~uirp.r1ln~np.~tionsJ
1 Rough Mechanical: Prior to Cover
2 Final Mechaolcal: Wheo all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
infol'lllation 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 ofaoy 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 arc 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 wlll remain 00 the site at all
times during construction.
o"~r.: cJ!.::~uwrn ~,:CII 03
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00854
COM2003-00854
COM2003-00854
COM2003-00854
COM2003-00854
COM2003-00854
Payments:
Type of Payment
Check
J:9F'':._.D'~ ~.
~.
Receipt #: 1200200000000002061
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustmcut Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING
Received By
djb
(;heck 1'l umber
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/04/2003
11:12:3IAM.
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
S62.65
How Received
In Person
Payment Total:
Amount Paid
S62.65
S62.65
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