HomeMy WebLinkAboutPermit Mechanical 2003-11-5
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01121
ISSUED: 11/05/2003
APPLIED: 11/05/2003
EXPIRES: 05/05/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1061 J ST APT 2
ASSESSOR'S PARCEL NO.: 1703351102700
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace gas wall heater
Owner: MARTHA SHEARER
Address: 83499 RATTLESNAKE RD DEXTER OR 97431
Phone Number: 541-747-5562
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
08/31/2004
Phone
541-683-2590
VN
I BUILDING INFORMATION I
# of Stories: \a,*~CS~~~S ~~~~'>'
Height of Structure \Ot'tOfe90n b'>' \~tUll~f.WIogat 101'\
Type of He~rn:N1 ad09ted ~q~afFi~'?fl_OO
Water TYP~D\\O'J'1 fU\eS en\ef .1noSS%t!\f\lTh~e?fi\es \
Range TYPfbt,\,cat,on C 0:\ _qO"\ ~ t~f~~~~~nrgPe/~m~wt
Energy palli:Oj)..?, 952~~l, \. 6bta\n c~ J;ft~I\et\~~. \,On
\n090' '100 ffla'l entef. ,Nt p.'e~fl~f}s<sill-f~e Area:
o .. .nP. C _ _nO \J"\. -l ~)
I DEVELOPMENT IN.. ~~]I(i)N''l~;~800-'3'3't-t.,.r' . /
,.J C,P,,,,. \. REQUIRED PARKING
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-l
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'% of Lot Coverage:
Total:
Handicapped:
Compact: ,
Rearyard Setback:
Solar Setbacks:
". ~_V ~ :'.1" ~ l E)\t"\nt \r ,.\-'~ 'Nf\f\~
I PUBLIC IMPReY~~~~5H~l "H\5 PERM\1 \5 NO
~U1r\OR\IE~O ll~~~ek~o fOR ..
COMMt:\'~C ":1 PER\OO~pouts/Drains:
~N'i 1 BO 01'\ '
Street Improvements:
Storm Sewer Available:
Special In~truction:
Notes: '
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01121
ISSUED: 11/05/2003
APPLIED: 11/0512003
EXPIRES: 05/05/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
[ Fees Paid I
Fee Description
-Mechanical Issuance Fee-
, + 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
11/5/03
11/5/03
11/5/03
11/5/03
11/5/03
1200200000000002427
1200200000000002427
1200200000000002427
1200200000000002427
1200200000000002427
Total Amount Paid
$62.65
I Plan Reviews l
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.
[ Reouired Insoections I
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 the approved set of plans will remain on the site at all
times during construction.
V~0<-A~~/)./j:X//J?/"VJ,~ ~~
Owner or Contractors Signature
/~/cVOJ.
Date
" -
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'Job/Journal Number
COM2003-01121
COM2003-01121
COM2003-01121
COM2003-01121
COM2003-01121
Payments:
Type of Payment
Check
Receipt #: 1200200000000002427
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum! Adjustment. Mechanical
~Mechanical Issuance Fee~
Paid By
ASSOCIATED HEATING
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmeitt
Public Works Department
Date: 11/05/2003 1:33:11P1Vf
Amount Paid
3.15
4,50
12.00
33.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65