HomeMy WebLinkAboutPermit Mechanical 2003-10-6
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Status
Issued
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. Ll1 l' OF SPRtrR.nELD
Building/Combination Permit
PERMIT NO: COM2003-01010
ISSUED: 10/06/2003
APPLIED: 10/06/2003
EXPIRES: 04/22/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
SITE ADDRESS: 717 RIVER HILLS DR
ASSESSOR'S PARCEL NO.: 1703341304400
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install high efficieney furnace and AC
Owner: JEFF REICHERT
Address: 717 RIVER HILLS DR SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor
MAG ELECTRIC INC
COMMERCIAL AIR INC
License
149834
110075
Expiration Date
12/1312005
12/18/2005
Phone
541-461-0387
541-461-4821
BUILDING INFORMA TJON I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setbaek:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speeial Instruction:
Notes:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
I DEVELOJ1MEN<f;:lNFORMATION I
EN\ION:or~,,- \1 oragu" J',f -J .
An doptad by t e. ~ e set fort
lolloW rules a \\'1O\.Qv'etli'fDIW:9<;2-00'
10tilicatiOn centa~1 0 t\1lt~l!leePr').~s R\l.d:. \
OAR 952~OQ~-Ob 'n c!)\!>~~,DW~lfl.h'd:"~
\ . may 0 tal 1.1,P. w,\eplion
0090, '(ou enter. tNo/.;Qif,lcot l'lCO\Meg!\\on
calling the c re on UtIlity
,_~~d",t\1e 0 g. _ "..,,,_?'I44).
,.-, r.pn~p.r IrpUBL~-C IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
T~!S PERMIT SHALL EXPIRE IF THE WORK
J.'J fHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Pal!elof3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descrintion
Tvne of Construction
Fee Description
-Mechanical Issuance Fe.,..
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY 01' ~rK11~uN~LD
Building/Combination Permit
PERMIT NO: COM2003-01010
ISSUED: 10/06/2003
APPLIED: 10/06/2003
EXPIRES: 04/22/2004
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
FpP~, tiIiLI
Amount Paid
Date Paid
Receipt Number
$10,00
$4,50
$3.15
$8.00
$12,00
$12,00
$4,00
$9.00
$4,60
$3.22
$43.00
$3.00
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
10122/03
10/22/03
10/22/03
10/22103
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
2200200000000001681
2200200000000001681
2200200000000001681
2200200000000001681
$1l6.47
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.
I Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing, Presure test done at this point,
2 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all meehanieal work is complete.
Paee 2 00
.
. CITY OF SPRINlJNJi.LJ)
Building/Combination Permit
PERMIT NO: COM2003-01010
ISSUED: 10/06/2003
APPLIED: 10/06/2003
EXPIRES: 04/22/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 eorrect, and I further eertify 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.
Owner or Contraetors Signature
Date
Pal!e 3 of3
225 Fifth Street'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01010
COM2003.0101O
COM2003-01010
COM2003.01010
Payments:
Type of Payment
CreditCard
Paid By
LISA ORA Y
;~~,q~,-,,,,,,,,.....
Wt... ..
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,t '
,"',.,.<,,"'.,,'..... ......
Receipt #: 2200200000000001681
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Received By
djb
<':heck Number
Batch Number Authorization Number
000200 083544
City of Springfield Official Receipt
Development Services Department.
Public Works Department
Date: 10/22/2003 1l:35:59AM
Amount Paid
Item Total:
3.22
4,60
43,00
3,00
$53.8Z
How Received
In Person
Payment Total:
Amount Paid
$53.82
$53.8Z
.
.