HomeMy WebLinkAboutPermit Mechanical 2003-4-15 (2)
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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