HomeMy WebLinkAboutPermit Miscellaneous 2002-12-11
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Building/Combination Permit.
PERMIT NO: COM2002-01367
ISSUED: 12/11/2002
APPLIED: 12/1112002
EXPIRES: 06/1112003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1095 DIXIE DR
ASSESSOR'S PARCEL NO.: 1802052400100
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump and air handler
Owner: LAMBERT LEO L & DEBORAH K
Address: 1095 DIXIE DR SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
CHlTIIM ENTERPRISES IINC
LAMBERT LEO L & DEBORAH K
BUILDING INFORMATION I
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, )r I ':lV" ""(1\1'.: ~ \. ~ .
# fSt ,'''''';\\\l!O:'-':',n'' ,.., -. L' S' ":"\Y
o .Orles. ' ~ '''1,.' r l '_ ot 12e...
Heigh,tof)w filler a T::: ~.: '. ':'.,"" Sq F,t:1st'Floo....:
Type of Heat ion ';1;::1,3'. "0. , '-: "Sq' Ft 2rid'Floor:
l......~...~. . ~1"\1ct"..:r'C(h""'r .~-
Wa~,~ (!'ype.:~.)2-0\.)1-t:u, . _ i ~ ',,,,, ~ISq.~t..~aseni..~t:
Rang5v1y'p.e;'OU ms;' ODe8. . "C~'~~,~~q'Ftq!!rage/Carport
Energy P.ath:,- t\1~ cer:t3r. ,I'. ..:::: Sq Ft.Other:\
\,oUo"" ;.:, ... .\1 ~ . I:;U_.'~-
nu;nberfOit'10.0.~:;.~~ ...."'?_Z1~e~rvious Surface Area:
License
47396
Expiration Date Phone
03/08/2005
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Total:
Handicapped:
Compact: ~
i\\~ 'Na~ ;\
'/..'i'\?-.~ \\' \-lI\\ \'21 ~a
.r.C' -l'~\\-~ 'r.:O~?\ ,r(\9.
IPUBLlC IMPROVEMEN1S:-tt-?-.~\b ~~a't.?-. \~~aa~t.V .
\~~\\\a~~~ltt!~~~~:
C.()~W\ ~\}ItP~.gpoutslDrains
~~'1 \
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
Square Foota!!e
Value
Date Calculated
I of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical IssuaDce Fee-
+ 7% State Surcharge
+ 8% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount
.
. Lll" OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01367
ISSUED: 12/11/2002
APPLIED: 12/11/2002
EXPIRES: 06/11/2003
VALUE:
Total Value of Project
Fees Paid I
Amount Paid
Date
12/11/02
12/11/02
12111/02
12/11/02
12/11/02
12/11/02
Receipt Number
1200200000000000384
1200200000000000384
1200200000000000384
1200200000000000384
1200200000000000384
1200200000000000384
Received By
djb
djb
djb
djb
djb
djb
$10.00
$3.15
$3.60
$8.00
$12.00
$25.00
$61.75
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.
l..Rp.ouirp.rl ~
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, tbat I have carefuUy examined tbe completed application and do hereby certity tbat all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with tbe 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 certity that only contractors and employees who are in compliance witb ORS 701.005 wiD 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 . constructi~
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Owner or Contractors Signature
l-2> r-.
12-- Jf-OZ-
Date
2 of 2