HomeMy WebLinkAboutPermit Mechanical 2003-9-3
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Status
Issued
- CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00806
ISSUED: 09/03/2003
APPLIED: 08/20/2003
EXPIRES: 03/03/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-:3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 651 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Repair
Commercial
PROJECT DESCRIPTION: Replace package heat pump unit
Owner: CENTENNIAL SHOPPING CNTR LLC
Address: 7831 SE STARK ST STE 103 PORTLAND OR 97215
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
CHITTlM ENTERPRISES I INC
License
47396
Expiration Date Phone
03/08/2005
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: X. '-N\)~~q Ft Other:
d?\~t. ~t ~~\ \~ ~\)1mpervious Surface Area:
I flll~P,b),~m^~~ W"
\\-\\'2> \"l~\lt.\) \j\~~ \S ~ 1-\\ REQUIRED PARKING
I\\)\ \t.R~'\l..~~:~ ~\\)'V.
C}J\#'StJ,f\et~~s~qd:
l\~a\'pd'Drive Rqd:
VN
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
'. .' Compact:
S yoU to
% of Lot Coverage: r \aW reQU\fe n \Jt\\\W
_ - \O\~..orego \ the orego et tort
.\...\f:.\~ , J~rtp.d bY \~'" :;:\re s _;".
I PUBLIC IMPROVjitl'1JENrS''1~~ter. \hO~~~~; Op..R 9t>~;s'"' \
t 1\vGL"- I .. 00'\0 th , ot the rU
NO \ 1\ R 952.-00 Sitl5w~l~ (!'~pe~s t \e?hone
\n Or" roa\l 0 t It\.\ to' the e 't' at\on
, OOno ,<ou D.9I:W:I;nspout~/D'I:~ains:"lot\ Ie
~. he c,,-, .-" UlI\IlY \"Il
ea\\\ng t the oregon 332.-2.344).
numbef 6~{ntef \S '\ -800-
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
.--'~.e.~tN~f,:I!~~'';4I,,"\iU~:'1l1
'1 .
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/ Adj ustment Mechanical
Total Amount Paid
I Fees Paid I
Amount Paid,
$10.00
$4.50
$3.15
$12.00
$33.00
Date Paid
9/3/03
9/3/03
9/3/03
9/3/03
9/3/03
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00806
ISSUED: 09/03/2003
APPLIED: 08/20/2003
EXPIRES: 03/0312004
VALUE:
Receipt Number
2200200000000001473
2200200000000001473
2200200000000001473
2200200000000001473
2200200000000001473
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.
$62.65
I Plan Reviews I
L Reouired Insoections 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 a~d 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.
~~ 2~~
........- . p#
Owner or Contractors slgnatur~
Page 2 of2
9-3-03.
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00806
COM2003-00806
COM2003-00806
COM2003-00806
COM2003-00806
Payments:
Type of Payment
Check
Receipt #: 2200200000000001473
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department.
Public Works Department.
Date: 09/03/2003 1:52:43PM
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