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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 . .