HomeMy WebLinkAboutPermit Mechanical 2003-6-30
.
. CITY OF SPR11~uJ:imL1J
Building/Combination Permit
PERMIT NO: COM2003-00564
ISSUED: 06/30/2003
APPLIED: 06/30/2003
EXPIRES: 12/3012003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 806 A ST B
ASSESSOR'S PARCEL NO.: 1703354202600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Replace heat pump
Owner: FITCH MICHAEL J
Address: 1269 ISLAND CRT SPRINGFIELD OR 97477
Contractor Type
Mechanical
Owner
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
FITCH MICHAEL J
Expiration Date
08/31/2004
Phone
541-683-2590
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
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_,.e ""\~
," <.~. . ~J..\\\' ~
# of Stories: \el...~O!.~~~. _\i'" .
Height of Structure J."~ Sq 'Ft lst'Floor:J
Type of Heat: \0I.)O~ ~,' \\,e S'l:F{2~d'Fi6~r:." .
.J uy1 \\\. -,'-\' ,\..:....
Water Type: -,,' o~\e ..",0,:.0 ~~'.Ft ~.a\se}n'~n,t,2
Range Type:. \eS ~~ ,,\\3(\ \~O\S~I;t:G~x.~geJCa(p'6rt
Energy Path: ., P \I' ,\~,.\J ccSq Fl\Olher:;:C'3'
'u.. 0\\ .\....... ','\ ". \.' .....'u~
~u,\ L'~"" ,~-J'" (\~(' ,\ t~\fIinper:vious Surface Area:
. ..,\'1....1 . ex"""- ,...,1 _".;.:::'" _ \ ,,\"\., ;.,.,. \..,'
~. . . ,.. . \ \"- n\;' ...r.l/~-
I DEVELOPMENT.INFORMATlOWI" (\~: 'fr";
.:,'" ,,\.\P,.,-: ," ,'. REQUIRED PARKING
Vi' '"" ...,.
Overlay Dist: \\\\\"\\"0.... l~r.
# Street Trees Rqd:
Paved Drive Rqd:
Total:
Handicapped:
Compact:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
SDlar Setbacks:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I 11
. "- 'l'IO\'\1'
SIdewalk TmeW ,f\<- ~O'
. f;e~\\'\'t. :aM\' \'21
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Notes:
Paee 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00564
ISSUED: 06/30/2003
APPLIED: 06/30/2003
EXPIRES: 12/30/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
'1 Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F~~s Paid I
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
Receipt Number
2200200000000001152
2200200000000001152
2200200000000001152
2200200000000001152
2200200000000001152
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 Re{]uir~d TnsD~ctions I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 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 of the 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.
y~&[&xa;/~~
Owner or Contractors Signature
h/317J3
Dati
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00564
COM2003-00564
COM2003-00564
COM2003-00564
COM2003-00564
Payments:
Type of Payment
Check
~:,,'
~..,__uu_.__"
':' ,
, .
'~-'- " 1
- _ i
......._".,.--""___.M __.:/ - - n_!
Receipt #: 2200200000000001152
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED
Received By
djb
l.:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
",
Public Works Department
Date: 06/30/2003 1:12:49PM ;
Amount Paid
Item Total:
3.15
4.50
12,00
33,00
10,00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62,65
$62.65
.
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