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HomeMy WebLinkAboutPermit Mechanical 2003-7-2 . Status Issued * . Lit r OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00577 ISSUED: 07/02/2003 APPLIED: 07/02/2003 EXPIRES: 01/02/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1387 KELLOGG RD ASSESSOR'S PARCEL NO.: 1703342203900 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace heat and air handler Owner: WILSON RICHARD L & JUDITH K Address: 1387 KELLOGG RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor DEAN M SCHULTZ WILSON RICHARD L & JUDITH K BUILDING INFORMATION' License 133733 Expiration Date 02123/2005 Phone 541-767-0626 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: R-3 SETBACKS I DEVELOPMENT INFORMATION I Frontyard Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBIlIC IMPROVEMENTS I ~eS 1 \j'i.\\\" <.i. eo..-v\ 0\' :1.\0:\ Storm Sewer Available: \'3-">l'lt eot?,(f, te ",0 ?_<:J:) , Special Instruction: ~e~O~ "Q'l ~ "W'" ",,0C1)':' - ~0S"Q, N:O eO e~ Or ~\.\ e ~\O'\ . 009"< -{,'(\os "r>'(\ ~ :1.'(\0 ~O~. ~ A~"\ ~e"'0' ,,\et. ('\'(\to \€",O :l.e\0~~\r.'3-\\O ~ ' ,,>0\ t\) GC\ J::.<;J\. (j0<) ..~e ~\O\\ ,o\\O\v.;i.\O~l:"\l<;J\ 0'Q\0-\~ ~o\e\j'i."\\'l ~f>.f>.,\. ~6'\\ X- 9l ~'3-'l ~\et. "O~ ~?:'l- . Or --to" C (j0 ate'!) f,).'O \~ RJI:J. fJ. 'S' \\,0 \,~\j d:J ~\\"'. ~,ot t\'" c ~"Qe Ge~\e ~-v Street Improvements: Sidewalk Type: Notes: Downspouts/Drains: ~O~'#. \~~ \f '\~ \~ ~O' ~()1.\tf:. ~\'t ~~~~~$\~ \'~~ \0\\ '\~\~ ~~\t~\) U~~ \~ ~~~ (>.U"\ ~~'t\C'i.\) 't~O~ t,~ \Ya\\ ~ Paee I of2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fpp~ Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heal Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 7/2/03 m/03 7/2/03 7/2/03 7/2/03 7/2103 Total Amount Paid $62.65 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00577 ISSUED: 07/02/2003 APPLIED: 07/02/2003 EXPIRES: 01102/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001701 1200200000000001701 1200200000000001701 1200200000000001701 1200200000000001701 1200200000000001701 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. l.~POlJirpd l11~\l\I\iUrW I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signalure, 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' spections are requested at the proper time, that each address is readoble from the stree~:i~he permit card is loca ed at t I front of the property, and the approved set of plans will remain on the site at all "~y;;;"'"% 7 - z - 03 Owner or Contractors Signature) Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00577 COM2003-00577 COM2003-00577 COM2003-00577 COM2003-00577 COM2003-00577 Payments: Type of Payment . Check . r.. 'LJ..'~~. Wi:.i-.1 Receipt #: 1200200000000001701 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By DEAN HEATING AND AIR Check Number Received By. Batch Number Authorization Number djb City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/02/2003 1:22:46PM Amount Paid 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Item Total: How Received In Person Payment Total: Amount Paid $62.65 $62.65