HomeMy WebLinkAboutPermit Mechanical 2003-9-3
.
. CITY OF ~rKll'lld<l~LD
Building/Combination Permit
PERMIT NO: COM2003-0080S
ISSUED: 09/03/2003
APPLIED: 08/20/2003
EXPIRES: 03/03/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3825 INTERNATIONAL CT
ASSESSOR'S PARCEL NO.: 1703153200500
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Replace air conditioning unit
Owner: KMTR INC
Address: 6221 COLLEYVILLE BLVD STE ISO COLLEYVILLE TX 76034
r CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
CHITIIM ENTERPRISES I INC
License
47396
Expiration Date Phone
03/08/2005
BUILu",~ ",.ORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary OccupBncy Group:
PrimBry Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of Structure Sq Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
\'W!iITw; Sq Ft Basement:
R~?~'S1jY!!~iMIT SHALL EXPIRE IF TI~!i Vt(9.~KagelCarport
E'Ae8lffita~~lED UNDER THIS PERMI~IIj~tlru~er:
r.OMMENCED OR IS ABANDONEdr81r'Ious Surface Area:
-- -... ---J....,...,.
I DEVELOPMENlPINFORMA'rioN I
REQUIRED PARKING
R-3
SETBACKS
Frontyard Setback:
Side 1 SetbBck:
Side 2 SetbBck:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
,.
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
% of Lot Coverage:
ATTENTION:Oregon law reqUires youto
~_.._... ~,.._- qUUJ.Ht::tU uy lilt:' VIt;;;~VII VUIIlY
I PUBLIC IMPROVEMENTS:llter, Those rules are set fort
in -OAR 952-001-00Sidewalkh,Type:\R 952-00
0090 You may obt~D;n ,..nniFl"t~:X tbp. rules I
. ownspou :w urams:
calling the center, (NOle: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date CalculBted
Total Value of Project
PBl!elof2
.
. Lit l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-0080S
ISSUED: 09/03/2003
APPLIED: 08/20/2003
EXPIRES: 03/03/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
F~~s P3i!U
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Not Listed
Minimum/Adjustment Mechanical
Amount Paid
Date PBid
$10.00
$4.50
$3.15
$9.00
$36.00
913/03
9/3/03
9/3/03
9/3/03
9/3/03
Receipt Number
2200200000000001472
2200200000000001472
2200200000000001472
2200200000000001472
2200200000000001472
Total Amount Paid
$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.
L.R~nuir~? Tns~
I Rough Mechanical: Prior to Cover
2 Final MechBnlcal: 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 projcct.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readBble from the
street, that the permit card is located at the front of the property, and the Bpproved set of plans will remain on the site at all
times during construction.
~ 0t'L Jj;g~
~er or Contractors Signat~
9- 3 -0 ?,
Date
Pa!!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00805
COM2003-00805
COM2003-00805
C0M2003-00805
C0M2003-00805
Payments:
Type of Payment
Check
Ml:~~."'~~~." ",':
, ~. . '
t", .'.
~'- " _.-.'
,...~.".<..._...h..,.-,.,. , .
Receipt #: 2200200000000001472
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Appliance Not Listed
Minimwn/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/03/2003 1:51:51PM
Amount Paid
Item Total:
3,15
4.50
9,00
36,00
10,00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65
.
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