HomeMy WebLinkAboutPermit Mechanical 2003-3-12
.
. ~CITY OF SPRINGFIELD
Building/Combination Permit
PERl\fiT NO: COM2003-00152
ISSUED: 03/12/2003
APPLIED: 03/10/2003
EXPIRES: 09/12/2003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5660 DAISY ST 45
ASSESSOR'S PARCEL NO.: 1702334401431
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace heatpump
Owner: PAT BRECHTBILL
Address: 5660 DAISY ST #45 SPRINGFIELD OR 97478
Phone Number: 541-744-6528
Phone Number: 541-744-6528
I CONTRACfOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
PRIORITY ONE HEATING & AC INC
PAT BRECHTBILL
License
154686
Expiration Date
03/11/2005
Phone
541-689-1004
541-744-6528
I BUILDING INFORM~;rION .
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# of Buildings: . o{\#1Zo'f~~~\~S"f}O(\ set \0(\\
Primary Occupancy Group: \~'.U\eg o'tIfig~~\ot.S a.~e 0'2:00"-
Secondary Occupancy t:.~ \ ,0 a.oo,?\e \l',~pe o~~e'.t,~ 9 \}\eS '0)
P'rimary Construction Type p--\\ NIl ~\}\eSce(\\e~'\ dX\l\tt1i'.}~!!&\ \~e t ~O(\e
Secondary Construction \o\\~ ~\\O(\ r\" ,(J(J'\ Range"l'Fyp'e: ~e\e9 t.:l~\O(\
'~\CQ ~v \ (',.n ~ ,\" ~(.\e \. .,' C~\.'
# of Bedrooms: ~O\\ ~ 90?'-- a.~ o'O\(En~~gy'~P.a~: ~o\\,'
\(\ 0 ~ '{ o\} (\\ e(\W~' ~ ~ \)\\\\\'1 AA ~.
_ "at). .hP. C "~P.QO _nl),'2-~
v- ca.\\'~~~-P)E\&bOPMENT INFORMATION I
SETBACKS (\\}~ G~\"
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
,
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Handicapped:
Paved Drive Rqd: ,,~~ Compact:
% of Lot Coverage: 0 ~~ ~\~~():~
.\\()~~~~ ~1~~\,,()\\~p' \_
!pUBLIC IMPROVE~~ ~;(\~~c:,~~~~1;\\.(\~
'O()~ () ~10 S ,,:; ~'1I~walk T~e:
\.\~ 1'0\01'
\.()~ c:,\ ~\. ~\ Downspouts/Drains
'^~\)* ~
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footal!e
Value
Date Calculated
1 of 2
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.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00152
ISSUED: 03/12/2003
APPLIED: 03/10/2003
EXPIRES: 09/12/2003
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
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
-Mechanical Issuance Fee- $10.00 3/12/03 1200200000000000815
+ 10% Administrative Fee $4.50 3/12/03 v 1200200000000000815
+ 7% State Surcharge $3.15 3/12/03 1200200000000000815
Air Handling Unit Up to 10,000 $8.00 3/12/03 1200200000000000815
Heat Pump $12.00 3/12/03 1200200000000000815
Minimum/Adjustment Mechanical $25.00 3/12/03 1200200000000000815
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 Required 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 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 co c n.
//~/
:;..---
Owner or Confi;;dors Signafure ~
Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.."
.,
3/12/2003
1:53:48PM It
City of Springfield
Development Services Depaa tment
Public Works Department
Official Receipt
Receipt #: 1200200000000000815
Date: 03/12/2003
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
.
Line Items:
Job/Journal Number
Description
COM2003-00152
COM2003-00152
COM2003-00152
COM2003-00152
COM2003-00152
COM2003-00152
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Received By
Check Number Confirm No
How Received
Check
PRIORITY ONE
djb
In Person
Payment Total:
Page 1 of I
cReceipLrpt