HomeMy WebLinkAboutPermit Mechanical 2003-4-15
Status
Issued
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2003-00271
ISSUED: 04/15/2003
APPLIED: 04/15/2003
EXPIRES: 10/30/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 815 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703341409502
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump, air handler and duct work
Owner: BARBARA ALLEN
Address: 815 PRESCOTT LN SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION ,
Contractor
KS ELECTRIC
COMFORT FLOW
BARBARA ALLEN
License
70889
460
I BUILDING INFORMA nON I
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:,o
Range Ty~S:' .~~ 1\
Enere.v.jPath!l'll ,o~..
,s;.' 0" 13' &:I'
.,,0~\0C$,0<aG.'1fS ~"()'
VN
I DEVii..0P~IE)N:ryiN-FORM:4:'fION I
~'U... 0.... ~'<J ~, ~ '-' N' :\.,-
~9 ~,0 .(,,'(Co0 \o~OJ '" 0 ,~0 .~,v'l>
~p '1>~p 0" 8\'C~e~~i~!i) .~o~ .
:0(',~ .~0c" r.0~ "I,) II Stree~~1'reeS\R~d:~
v '\v v ~;v -fh,". ~...., .."". e"l:~
~ O.:ll . O~ &:II,) o~a\ed'D..ve RHd:
~ . ~ b'l: '1>'\ ^,0' ~~o'~f6tJ.
,0 ~'v ~ ~ >><S' v~% d,E?l,\.€overage:
~o O~ 4,0 >:$'0 >:$'0.c" ".:
".('\ -.(\. .^~ L"\ _('i:
1,)"- <:'~~I;piJIU;IC IMPROVEMENTS'
('
Pa2e I 013
New
Residential
Phone Number: 541-726-9415
Expiration Date
1213012004
0612712003
Phone
541-686-6236
541-726-0100
541-726-9415
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped: ~~
Compact: ~(:~c:s~(;)'\
~'\~~\Co~
,~~\"<.~~(;) v,C:S
~,,- ,\'0'0:. ~\.l"
. Co'(..~ fr..,~ ~~~
Side~~~ \\~~ ~ ~'\)
D~~5P?~1f@lC:S~"<.~C:S .
~\\'\~ ~"<.~ '\)~
rv(;)~ \'O~
~~~
-;~'
~
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
Square Footaee
$ Per Sq Ft
Total Value of Project
I Fppo P\WU
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Pai
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
$4.60
$3.22
$43.00
$3.00
4115103
4115103
4115103
4115103
4115103
4115103
4130103
4130103
4130103
4130103
Total Amount Paid
$116.47
I Plan Reviews I
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00271
ISSUED: 04/15/2003
APPLIED: 04/15/2003
EXPIRES: 10/3012003
VALUE:
Value
Date Calculated
Receipt Number
1200200000000001008
1200200000000001008
1200200000000001008
1200200000000001008
1200200000000001008
1200200000000001008
1200200000000001096
1200200000000001096
1200200000000001096
1200200000000001096
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"".irIPlrt Tn~nlF"r'tilfl.lll.l
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Paee 2 013
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00271
ISSUED: 04/15/2003
APPLIED: 04/15/2003
EXPIRES: 10/30/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ofany structure without permission ofthe 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 3 013
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0027I
COM2003-0027I
COM2003-0027I
COM2003-0027I
Payments:
Type of Payment
Check
4/3012003
City of Springfield
Development Services Department>
Public Works Department
Official Receipt,
Receipt #: 1200200000000001096
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid 8y
KS ELECTRIC
9:20:50AM
Received By
djb
Date: 04/30/2003
Amount Paid
Item Total:
43.00
3.00
3.22
4.60
$53.82
t.:heck Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
53.82
$53.82
Page I of I
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