HomeMy WebLinkAboutPermit Mechanical 2003-6-30 (2)
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00564
ISSUED: 06/30/2003
APPLIED: 06/30/2003
EXPIRES: 01/02/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection 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
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Owner
Contractor
MCDIARMID CONTROLS INC
ASSOCIATED HEATING & AIR CONDITIO
FITCH MICHAEL J
License
77023
106275
Expiration Date
10/24/2004
08/31/2004
Phone
541-726-1677
541-683-2590
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
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~'\~'(. :~.pflilLIC IMPROVEMENTS:.."'''~~i,,, Q Jgu,':: ~I" ,
s:-\, .,~ '_OU, ","~ "
Street Improvements: ....~~ o~~""'~ y.'\)~' " ' II_ ~ ~IUu"'~ '\ I Sidewalk" Type: '.J. '::"
~y..S,~~\J ",." "II ,.". ...:"
Storm Sewer Availab~~\.\'l '\~ ~'\)\:) i~ ~~ ",""". ~, I~;' 'i><i-wnspoutsiD~ains:' ~
Special In}~iAA\ CO .\'\)~" ~'O~ :'" " '" ," ..,\ .. ~\,r'" ,~." ,,.,'c ~~:,~_:','~-;\
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Note~,>..\S~<'\~"t~G\)<;:jG~'\)\)' .,0': ,..~~,.,'~:>~ --:: ,,' ,<' '.
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Pa2e 1 of3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanicallssuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
L.Fpp< PiWU
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
$4.60
$3.22
$43.00
$3.00
$116.47
I Plan Reviews I
Date Paid
6/30/03
6/30/03
6/30/03
6/30/03
6/30/03
7/2/03
7/2/03
. 7/2/03
7/2103
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CITY OF ~rK11~l.-NJ!.LD
Building/Combination Permit
PERMIT NO: COM2003-00564
ISSUED: 06/3012003
APPLIED: 06/3012003
EXPIRES: 0110212004
VALUE:
Value
Date Calculated
Receipt Number
2200200000000001152
2200200000000001152
2200200000000001152
2200200000000001152
2200200000000001152
1200200000000001688
1200200000000001688
1200200000000001688
1200200000000001688
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 Rpnnirptl 'n~,nprtiIILI
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Paee 2 of3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00564
ISSUED: 06/30/2003
APPLIED: 06/30/2003
EXPIRES: 01/02/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examiued the completed application and do hereby certify that all
iuformation 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.
Owner or Contractors Signature
Date
Page 3 00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00564
COM2003-00564,
COM2003-00564
COM2003-00564
Payments:
Type of Payment
Check
~~
Receipt #: 1200200000000001688
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCDIARMID CONTROLS
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/02/2003 9:03:08AM
Amount Paid
,
Item Total:
43,00
3,00
3,22
4,60
$53.82
How Received
In Person
Payment Total:
Amount Paid
$53,82
$53.82
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