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HomeMy WebLinkAboutPermit Mechanical 2003-4-15 (2) '. . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00271 ISSUED: 04/15/2003 APPLIED: 04/15/2003 EXPIRES: 10/15/2003 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 New Residential Owner: BARBARA ALLEN Address: 815 PRESCOTT LN SPRINGFIELD OR 97477 Phone Number: 541-726-9415 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor COMFORT FLOW BARBARA ALLEN License 460 Expiration Date 0612712003 Phone 541-726-0100 541-726-9415 BUILDING INFORMATION I VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: e\1J,1lD r!:>o.lJ'>(I\). Sq Ft 2nd Floor: Water Typ'~." S\~ ~\~O\) ro..t.\(t3 QO Sq Ft Basement: Ran~~~~~~O~..o0\l,\ ~.O~ IJ,\Sq Ft GaragelCarport . ~fD1'"~~~~ai'B: .~0\U"-I-'0\)) (10 ~'(jO o~q Ft Other: I.: O~I-'\ '0\0~",\'6\0.0 "~'O'\'0~'\'~ mpervious Surface Area: ^,'\\'\i ~'\\\, '^"'" -tv\." .,0\, ^,'\O , . '1'-. .. l.,anE-,~fOPMEN:iINF<5~M-A>Tlbml\~ ;~ . ~v - ~U~ 0"''''''- i\1:)...r O\}.~ ',0, s011.~lP!Q 'lSd' <;,0\~~ ~\ 1-0. 9~t0~Ci-~ \.00' ~v&Jla~ .Q~ ;0\ IJ,O ~O\ \'71 ~M';'~ Rqd: , ,,\\~iQd'f-c!,tD}l've Rqd: O~ of Lot Coverage: REQUIRED PARKING # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: f1?1I. I PUBLIC IMPROVEMENTS I X. \r ,~t. ~ ~6' ~\?( ~1 ~ ~\Cf(:: ~~t>-\.\. ~~'PlS~~~~~O?- ~Q "- ?'t.?~\\ \\~Ot.?~~~S7Drains: \'I\~" ~\t't.O ~ \~ 11 t>-\}\~~t.~C.t.O ~'t.?\OO. c.OWl \o.~ O~ l\N.i " I Valuation Descrintion I Notes: Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated Paee 1 012 . . CITY OF .srK1r~urIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00271 ISSUED: 04/15/2003 APPLIED: 04/15/2003 EXPIRES: 10/15/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P3irl I $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 4115103 4115103 4115103 411 5103 4115103 4115103 Receipt Number 1200200000000001008 1200200000000001008 1200200000000001008 1200200000000001008 1200200000000001008 1200200000000001008 Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Pai 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. I ~erlJired \Iw1eetions I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 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 performcd 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 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 rcadable from the street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. \ \..0,.~f\t\\k ~ 0 \^^\f\W~[ Owner or Contra~ Signature ~!1c..!6~., Date Paee 2 012 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .e Items: Job/Journal Number COM2003-0027I COM2003-00271 COM2003-00271 COM2003-00271 COM2003-00271 COM2003-00271 .yments: Type of Payment Check Paid By Receipt #: 1200200000000001008 Date: 04/15/2003 Description Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee-- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No COMFORT FLOW djb Page I of I 411512003 1:27:03PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 8.00 12,00 25.00 10.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Pavment Total: cReceipt.rpt