HomeMy WebLinkAboutPermit Mechanical 2003-2-13
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. CITY UI< ISrKl1~ul<mLD
Building/Combination Permit
PERMIT NO: COM2003-00084
ISSUED: 02/1312003
APPLIED: 02/13/2003
EXPIRES: 08/1312003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2303 DON ST
ASSESSOR'S PARCEL NO.: 1703272102800
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Install furnace and ac
Owner: NEE MICHAEL E & SUSAN M
Address: 2303 DON ST SPRINGFIELD OR 97477
I CONTRACfOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor License Expiration Date Phone
CHlTTIM ENTERPRISES I INC 47396 03/0~~OOSJ?"
NEE MICHAEL E & SUSAN M ~"O\~t. \t "I'; \~ ~Oi
BUILDING INFORM:.\TIONj\[\\.~;~\-\\S ~\:.~~Q' to?'
,\,\\';) r~" tD 1.l\~D [\'O[\~DO
# ofStori~\\i\'lO?-\1' \) O?- \S Lot Size:
Height of G\'JI\'JIt.~C,t ~ ~t.?\O\)' Sq Ft 1st Floor:
Type of HeJt:,\,o{ iCO\) \)fl\ Sq Ft 2nd Floor:
Water Type:f>;\' Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
~ETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Rearyard Setback:
Solar Setbacks:
Overlay Vist: Total:
# St~~~t l.~e'~"\I'lJlegon law reqUires you. t,o,!"andicapped:
Paved Drive Rqd: pted by the Oregon Utlht,Compact:
'Ollow rules 0.00 \ are set forti
% ofLat ,Co,v,erage:r. Those ru eSAR 952001
Netllll,;cl'V' -- ' hO'
- in OAR 952.001-001?t~~~~c nt the rules b~
IPUBLI(i;-iMPROyi~jii'(Note: the tele'p'ho~e
__" _ IIf;litv Notification
number for the Oregon Si~e,:"alk,Type:
is 1_800-332-2;:)-1.
Center Downspouts/Drains
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion ,
Description
Type of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
1 of 2
.
. Lll r OF ~rKli~ut<1Jj,LD
Building/Combination Permit
PERMIT NO: COM2003-00084
ISSUED: 02/13/2003
APPLIED: 02/13/2003
EXPIRES: 08/13/2003
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 2/13/03 1200200000000000695
+ 10% Administrative Fee $4.50 2/13/03 1200200000000000695
+ 7% State Surcharge $3.15 2/13/03 1200200000000000695
Air Haudliug Unit Up to 10,000 $8.00 2/13/03 1200200000000000695
Appliance Vent $6.00 2/13/03 1200200000000000695
Furnace - up to 100,000 btu $12.00 2/13/03 1200200000000000695
Minimum/Adjustment Mechanical $19.00 2/13/03 1200200000000000695
Total Amount $62.65
I Plan Reviews ,
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 Reouired InsDections 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
hcrein, 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 readahle 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.
~ ~'-Q... 2. - I s -CJ 'S
Owner or Contractors Signature
Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00084
COM2003-00084
COM2003-00084
COM2003-00084
COM2003-00084
COM2003-00084
COM2003-00084
Payments:
TWe oCPayment
Check
Paid By
Receipt #: 1200200000000000695
Date: 02113/2003
Description
Furnace - up to 100,000 btu
Appliance Vent
Air Handling Unit Up to 10,000
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanicai
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
JAMES HEATING
djb
Page I ofl
2/13/200,3
\
2:38:29PM
City of SpringfieI~j
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
12.00
6,00
8,00
10,00
19,00
3,15
4,50
$62.65 .
Amount Paid
62.65
$62.65
How Received
In Person
Payment Total:
cReeeipt.rpt