HomeMy WebLinkAboutPermit Mechanical 2003-7-15
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00625
ISSUED 07/15/2003
APPLIED' 07/1512003
EXPIRES: 01115/2004
VALUE:
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeetlOn Lme
SITE ADDRESS 1455 CHEEK ST
ASSESSOR'S PARCEL NO 1703243300108
Sprmgfield TYPE OF WORK Heatmg System
TYPE OF USE
AdditIOn
ReSldenllal
PROJECT DESCRIPTION Replace a/h add heat pnmp
Owner DlNGLE WILLIAM A & B A
Address 1455 CHEEK ST SPRINGFIELD OR 97477
Contractor Type
Meehameal
Owner
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
DlNGLE WILLIAM A & B A
BUlLDlNG INFORMATION I
ExpiratIOn Date
08/31/2004
Phone
541-683-2590
# of Bmldmgs
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# 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
Front yard Setback
Side 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
SpeCIal InstructIOn
Sidewalk Type
DownspoutslDrams
Notes
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1BO DAY PERIOD.
on law reqUIres you to
AI II:.N \I()N,()r~g d by the Oregon Utility
follow rules adop eThose rules are set tort
NotificatIOn ce~~~1 0 through OAR 952..()() .
In OAR 952-00 cO les ot the rules b
0090, You may obtain Nofa the telephone
calltng the cenoter, ( n Utility NotifIcation
for the rego
PilW'lQ/{benter IS 1_800-332-2344).
-~i'iI
Status
Issued
CITY OF SPRlr~uHI!,LD .
Building/Combination Permit
PERMIT NO: COM2003-00625
ISSUED. 07/15/2003
APPLIED' 07/1512003
EXPIRES: 01/15/2004
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescriotlOn I
DescriptIon
Tvpe of ConstructIOn
$ Per Sq Ft
or mulhpher
Square Footage
or B,d Amount
Value
Date Calculated
Total Value of ProJect
Fee, Paid'
Fee DescriptIOn
-Mechamcal Issuance Fee-
+ 10% AdmmlStratIve Fee
+ 7% State Surcharge
Air Handhng Umt Up to 10,000
Heat Pump
Mlmmum/AdJustment Mechamcal
Amount PaId
Date PaId
ReceIpt Number
$10 00
$450
$315
$800
$12 00
$25 00
7/15/03
7/15/03
7/15/03
7/15/03
7/15103
7/15/03
2200200000000001249
2200200000000001249
2200200000000001249
2200200000000001249
2200200000000001249
2200200000000001249
Total Amount PaId
$62 65
I Plan Reviews I
To Request an inspection call the 24 hour recordmg at 726-3769, All mspection requested before 7:00 a,m,
wIll be made the same workmg day, mspectlOns requested after 7:00 a,m, wIll be made the followmg work
day.
I ReoUlred Tn,nechon,'
1 Rough Mechamcal Prior to Cover
2 Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, T state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and
that NO OCCUPANCY WIll he made of any structure WIthout permIssIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 wIll be used on thIS project
T further agree to ensure that all reqUired mspectIons are requested at the proper tIme, that each address IS readable from the
street, that the permIt eard IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all
times dUring construction
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Owner or Contractors Signature
7//703
Date
Page 2 of2
225 FIfth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
Job/Journa) Number
COM2003-00625
COM2003-00625
COM2003-00625
COM2003-00625
COM2003-00625
COM2003-00625
Payments
Type of Payment
Check
~
~
Description
ReceIpt # 2200200000000001249
AIr Handling Umt Up to 10,000
Heal Pump
Mmlmum/AdJustment Mechamcal
~Mechamcal Issuance Fee-
+ 7% State Surcharge
+ 10% AdmInlstratIve Fee
Received By
1110
Lheck Number
Batch Number Authorization Number
Paid By
ASSOCIATED HEATING
10506
CIty of Spnngfield Official ReceIpt
Development Services Department
PublIc Works Department {
Date 07/15/2003 1 05 41PM
Amount Paid
Item Total
800
1200
2500
10 00
3 15
450
$62 65
How Received
In Person
Payment Total
Amount Paid
$62 65
$62 65