HomeMy WebLinkAboutPermit Mechanical 2003-3-19
.
. CITY tJ11 ~rKli~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00192
ISSUED: 03/19/2003
APPLIED: 03/19/2003
EXPIRES: 09/19/2003
VALUE:
Status: Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 180 S 79TH ST
ASSESSOR'S PARCEL NO.: 1702363000800
Springfield TYPE OF
Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: replace heatpump and airhandler
Owner: REILLY RANDALL R & BETTY A
Address: 180 S 79TH AVE SPRINGFIELD OR 97477
I CONTRACfOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
CHITTIM ENTERPRISES IINC
REILLY RANDALL R & BETTY A
I BUILDING INFORMATION I
License
47396
Expiration Date Phoue
03/08/2005
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft. Garage/Carport:
. '084'Ft Other:\]
o.~\..... _(\(\v.
\..;~o,." ~ b CImpervi\'!!.s'Surface Area:
"..".'.U .lh\r\\' _..l.i2';::1 ....("\
I DEVELOPMENT'INF.ORMATIONIIUS<- \::J:\:l,~.wJ'~\;!; t.
0\."'\' "'(""..il.....
\OIlV" '0\1 '-'''''',,\)~ot\,~ .~ S (\~ \,,~REQUJRED PARKING
'1'(;"" ,\\)~'V ['();')\2' . .,'-')'(\'" '(\
O I"'D"~ t . """;"V :o'~i'(\ , ,,'- '-'"T t ~1"\O
ver ay is: -1 -::J;..! ~ 0 1\ -, /:f].' \,1 J - . 0 a :
. "1'\" . e.'J I~':J\~' '. ",()..,. .
# Street\Tr~es 'loll n' ~n\e(. \. '\'l,\I\\] \. Handicapped:
....:"\\,.\11. '1,"",o.C.." ('\0:\ nn Iii"I.
Paved lliive Rgd:O II'~ ,",oor'l", ' n3?"(..:" Compact:
CC:'\':':;r\O{~"-. ..'(,1\\1'''-
% of Lot C~r$rage: Con\O( IS ~
# of Stories:
Heighl of
Type of Heat:
Water Type:
Range Type:
Energy Path:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS I 'l'lOI'-'f-
. Siti\l\~1~~ \S t-IOi
~01\C\~\i S\\~\t\-~'W~II~tY~\\
ir\\S ~\\lEI) \It-lO~,, ~'O~t-II)O~
f>,\llr\O" EO Q? ,,,
c.Q~~Et-Ic. ~'j 'jlt,\\\QI).
_:\" ~p,Q I)
I Valuation Descrintion I
Notes:
Description
Type of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
I of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00192
ISSUED: 03/19/2003
APPLIED: 03/19/2003
EXPIRES: 09/19/2003
VALUE:
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
......Mechanical Issuance Fee......
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Dale
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
3/19/03
3/19/03
3/19/03
3/19/03
3/19/03
3/19/03
Receipt Nwnber
1200200000000000856
1200200000000000856
1200200000000000856
1200200000000000856
1200200000000000856
1200200000000000856
Total Amount
$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 Reouired Insnections 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 certity 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 of the Community Services Division,
Building Safety. 1 further certity that only contractors and employees who are in compliance with ORS 701.005 will be
nsed on this proje t.
I further agree ensure that all required inspections are requested at the proper time, that each address is readabte from
the street, t the permit . located at the front of the property, and the approved set of plans will remain on the site
at all ti uring co IOn.
/t-- _
3/;l/V
Date
>
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00 192
COM2003-00 192
COM2003,OO 192
COM2003-00 192
COM2003-00 192
COM2003-00 192
Payments:
TWe of Payment
CreditCard
Paid By
Receipt #: 1200200000000000856
Date: 03/19/2003
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
CARY RAMSEY
000021 019120
djb
Page 1 of!
3/19!2003
.
2:25 :41PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
8.00
12.00
25.00
10.00
3.15
4.50
$62.65
.
Amount Paid
62.65
$62.65
How Received
In Person
paymenl Total:
cReceipt.rpt