HomeMy WebLinkAboutPermit Mechanical 2003-8-26
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
-.
. CITY OF SPRII\jlJ.t<l~L1J
Building/Combination Permit
PERMIT NO: COM2003-00827
ISSUED: 08/26/2003
APPLIED: 08/26/2003
EXPIRES: 02/26/2004
VALUE:
SITE ADDRESS: 6947 JESSICA DR
ASSESSOR'S PARCEL NO.: 1802022601700
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: GOODRICH RANDALL A & DEBRA S
Address: 6947 JESSICA DR SPRINGFIELD OR 97478
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106~
."
I BUILDING INFORMA\llIbNJ'~\:(i.
eu'- "v' e" ~ .
,>\ ~ 0\0'<> ~ r:F>
# of Slor~\'S: 0 '/).\0 '?J~?: \. Lot Size:
R-3 "~lgliJ'~~\~c\,!"'e~\>-~ ~~\0"b e Sq Ft 1st Floor:
0~I!~or'Heat:0 ~~~ ~ 'S'0 ~o~, O~ Sq Ft 2nd Floor:
VN ~;<"~ '" \Y~te~{I'~~~~(\~O \0'" 0 \0\0~~\C0-\~ Sq Ft Basement:
~<(; ~~\0 Rang'e(fYp~~~ CO~ e,'S'0 ~O\\ Sq Ft Garage/Carport
,0\\0~ 0-\\o(\E:l!J'rgy J'~f~: ~o'l. >J~\\\'?Jo.b<l' Sq Ft Other:
o\\\\C '" '?J~'l; ~0-~ ",\0\' ,,0(\ n..'?J?: Impervious Surface Area:
~ _ to..T""' .\ ,.0 _C'0~ _,.vJ
Contractor Type
Mechanical
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
Expiration Date
08/31/2004
Phone
541-683-2590
"I,DEVELOPMENT INFORMATION I
- C" ~0' (\~J
>>~ ve
~ Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
Total:
~~~~pped:
\,,~~~~t:
't.'I-'i'\-r.'t. t-r.~'\ '~-r.
....\('.~.:1 c,,,t-.'-;n ,,,,S ~(\~'t.\)" -
I PUBLIC IMPR'&V~~rilts~ U\'\~\~ t-.'O\\\~~
It-.U'\~~~\'\C't.~'{ ~~k Type:
C()~ '\ 'Oil \)1>' DownspoutslDrains:
t-.\'\'
% of Lot Coverage:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Total Value of Project
Pace 1 of2
.
. Lt! i' OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00827
ISSUED: 08/26/2003
APPLIED: 08/26/2003
EXPIRES: 02/26/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
S41-726-37691nspection Line
~ F....s P3id I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
8/26/03
8/26/03
8/26/03
8/26/03
8/26/03
8/26/03
1200200000000002024
,1200200000000002024
1200200000000002024
1200200000000002024
1200200000000002024
1200200000000002024
Total Amount Paid
$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 R..nuir..d u..ctinnsJ
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 construction.
v~ 0,~?~~
Owner or Contractors Signature
o/%/P3
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00827
COM2003-00827
COM2003-00827
COM2003-00827
COM2003-00827
COM2003-00827
Payments:
Type of Payment
Check
~IIii'~"n"'","',.,," :,1
~j
';, . "",.~ " """0.', ",."
Receipt #: 1200200000000002024
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
Paid By
SARAH DEUTSCHMAN
Received By
djb
L'heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmen1
Public Works Department
Date: 08/26/2003 1:43:30PM
Amount Paid
Item Total:
3,15
4,50
8,00
12,00
10,00
25,00
$62.65
How Received
In Person
Payment Total:
.
Amount Paid
$62,65
$62.65
.