HomeMy WebLinkAboutPermit Mechanical 2003-4-7
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00245
ISSUED: 04/07/2003
APPLIED: 04/07/2003
EXPIRES: 10/07/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1071 J ST APT 1
ASSESSOR'S PARCEL NO.: 1703351102600
Springfield TYPE OF WORK: H;eating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace wall heater
Owner: SHEARER MARTHA G
Address: 83499 RATTLESNAKE DEXTER OR 97431
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor License
ASSOCIATED HEATING & AIR C.ONDITIO 106275
SHEARER MARTHA G
Expiration Date
08/31/2004
Phone
541-683-2590
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
I BUILDING I~FORMA TION I
, ,~\)'('
# of Buildings: _~SlO@'\
Primary Occupancy Group: R-3 X. '* )t~~hl>oX Structure
Secondary Occupancy Group: ~~ ~~~meat:
Primary Construction Type V!t x,~ ~S ~ r Type:
Secondary Construction T~e: S'0~~x,~..:"''''~ ~~\) ange Type:
# of Bedrooms: ' ~\fV'(,. ~'\ ~~<;;j S ~~ Energy Path;
~~..\S ~~~\\,x.~~ \)~~\\)\).
\ ~~\:~x.~\J~~ '( vI DEVELOPMENT INFORMATION.
SETBACKS ~\)~' \~~
~'\ .
~ ,Overlay Dlst: \0 Total:
# Street Trees Rqd: 0S'iO\).~\\'i Handicapped:
Paved Drive Rqd: '(00.\)\'( 0(\ U\\ \et\\Compact:
\2-~ O'(e~ roe\ :\.
% of Lot Covera,g~~O(\ ~ \"(\6 ... &'(6 r;'l.$.)O ,
~U' 0 ~l \)\8~ ~ 9\1 s "(N.
.o'J"\\O ~o9\e -<nose'( :in OP>l r,D '(\)\'8 :\"
I PUBLI~)~{ijt9l~~\"(\~~~\e!> o~\~~~~~~O(\
~0\\\\~~~~'l.~2-'i o~~:~~ ~~;~~~:
\(\0 O:~o\) ~ecl~{\ O'(e<)t)~~b~S/Drains:
009 ~\Xf;\9 ~ \0'( \"e . S '\ }oo.Q
c ~e'( ~e~\
(\\).~ Ge{\
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
Paee 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00245
ISSUED: 04/07/2003
APPLIED: 04/07/2003
EXPIRES: 10/07/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Amount Paid Date Pai ,Receipt Number
$10.00 4/7/03 1200200000000000965
$4.50 4/7/03 1200200000000000965
$3.15 4/7/03 1200200000000000965
$6.00 4/7/03 1200200000000000965
$12.00 4/7/03 1200200000000000965
$27.00 4/7/03 1200200000000000965
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.
L Reauired Insoections .
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 theapproved set of plans will remain on the site at all
times during construction.
Y/~vU--/~~'
, - ,
Owner or Contractors Signature
~?/tJ3
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00245
COM2003-00245
COM2003-00245
COM2003-00245
COM2003-00245
COM2003-00245
Payments:
Type of Payment
Check
Paid By
Description
Furnace - Unit Heater
Appliance Vent
Receipt #: 1200200000000000965
Date: 04/07/2003
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
SARAH DEUTSCHMAN
Received By
Check Number Confirm No
djb
Page I of I
417/2003 ·
3:05:46PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
12.00
6.00
27.00
10.00
3.15
4.50
Line Item Total:
$62.65
How Received
Amount Paid
In Person
62.65
$62.65
Payment Total:
cReccipt.rpt