HomeMy WebLinkAboutPermit Mechanical 2003-7-10 (2)
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRI)'\jlj1<lJ!,LD
Building/Combination Permit
PERMIT NO: COM2003-00617
ISSUED: 07/10/2003
APPLIED: 07/10/2003
EXPIRES: 01110/2004
VALUE:
SITE ADDRESS: 949 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703341106616
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Electric furnace and heat pump installation.
Alteration
Residential
Owner: JUDY OTT
Address: 949 PRESCOTT SPRINGFIELD OR 97477
Contractor
HOME COMFOR~EATING & AIR
JUDY OTT .(~ ....
'*" .....~~-i imlLDlNG INFORMATION 1
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# of Buildings: ~" 'J::-~ >;) <<. # of Stories:
Primary Occupancy Group: ~~ci{j,.# Height of Structure
Secondary Occupancy Group':<<J ^'~ _~ Type of Heat:
Primary Construction Type~ 'J::- ~VN Water Type:
Secondary Construction ct~~{J'f ~ "?:' ~. Range Type:
# of Bedrooms: ~.;:- >;).::s c:!t #' Energy Path:
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SETBAQK~.:)'~~ ~ ~
Frontyard Setback:\.) .:t'
Side 1 Setback:
Side 2 Setback:
Contractor Type
Mechanical
Owner
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-747-5709
! CONTRACTOR INFORMATION I
License
84164
Expiration Date
06/25/2007
Phone
541-345-2838
541-747-5709
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" ,,,. ", SqFtGaragelCarport
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.. '. " Y Impervious Surface Areo:
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I DEVELOPMENT INFORMATION I' ,.- ,.:- ,.'. .'
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" ,,' , .,'" .'. REQUIRED PARKING
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Overloy Dist: .' ~ ~" ,,>' Total:
# Street Trees Rqd: > Handicapped:
Paved Drive Rqd: .~., Com poet:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Paee 1 of2
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U1 i' OF ~nul'l~FIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00617
ISSUED: 07/10/2003
APPLIED: 07/10/2003
EXPIRES: 01110/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
7/10/03
7/10/03
7/10/03
7/10/03
7/10/03
7/10/03
1200200000000001741
1200200000000001741
1200200000000001741
1200200000000001741
1200200000000001741
1200200000000001741
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 R..ou~n.n.."'ior~ I
1 Rough Mechanical: Prior to Cover
2 Finaf 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 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 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 lhe
street, that the permit card is located at the front of the property, and lhe approved set of plans will remain on the site at all
times during construction.
t) -:."
7-/<:::"-03
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2003-o0617
COM2003-00617
COM2003-o0617
COM2003-o0617
COM2003-o0617
C0M2003-o0617
Payments:
Type of Payment
Check
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Receipt #: 1200200000000001741
Description
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HOME COMFORT
Received By
Jmp
Check Number
Batch Number Authorization Number
9868
City of Springfield Official-Receipt
Development Services Department
Public Works Department
Date: 07/10/2003 1l:17:00AM
Amount Paid
Item Total:
12,00
12,00
21.00
10,00
3,15
4,50
$6Z.65
How Received
In Person
Payment Total:
.
Amount Paid
$62,65
$6Z.65
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