HomeMy WebLinkAboutPermit Mechanical 2003-10-6 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. Lit ~ OF SPRlr'luJilELD
Building/Combination Permit
PERMIT NO: COM2003-01010
ISSUED: 10/06/2003
APPLIED: 10/06/2003
EXPIRES: 04/06/2004
VALUE:
SITE ADDRESS: 717 RIVER HILLS DR
ASSESSOR'S PARCEL NO.: 1703341304400
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Instal) IJffprnaee an.d ~C ")
Owner: JEFF REICHERT {~~
Address: 717 RIVER HILLS DR SPRINGFIELD OR 97477
Contractor Li~nse
COMMERCIAL AIR INC ,1"<;' '1<l~lI.~~
, BUILDING INF(;)kMA'fiONI~~
I. It.... .AJ"
0(\'- ':rooO- ~,- ~ \
,cY'a~!Y'ff~~e (U\0~~ 9J ,~\GQ,
R-3 ~'\\o~' $~gi'lt\0.{iSt~8St.\l"}e 0\ \'(\0 ~'ro0~ (\
;0<(;; 1)\6'0 'il' n J:pe of ijea~: ~\e'O 0 \~$ ~\\Ce\\O
~,,~O'll ' (\ G~tePTyp'e:'O '1..0 ~ 't\0~
\0 ,~\c'il'\\~~'2fR\ng~-Wpe~O ~\)\\1~"
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~ -.A'- ...- ......
1~,~ij~"I;1 mrORMATION I
Contractor Type
Mechanieal
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTORmruKMATlON I
Expiration Date
12/18/2005
Phone
541-461-4821
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,
Overlay Dist: ()~'ifotal:
# Street Trees Rqd: \r ,\\t. \l'.\ ~cJ'andicapped:
Paved Drive Rqd: c.,,~\~t. a~\' \'0 Compact:
ro.(,' ,,~\. \.0" c. ~t.~ ~()~
% oij\'\~v~~~\\" x.~ ,\\~" f/\:l~~t.'V
~""\;,~~~\1t'V,~~~ \S t>.'Ot>.~
I PUBLIC Il\UlRi)~~S,..~\O\l'
Iv",1 \i ...\
I'-~" \'1) Sidewalk Type:
Downspoutsmrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Value
Date Calculated
Total Value of Project
Page I of2
.
. Lll f V!' ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-01010
ISSUED: 10/06/2003
APPLIED: 10/06/2003
EXPIRES: 04/06/2004
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F~~s P3id I
Fee Description
-Mechanical1ssuanee Fee-
+ 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 Mechanieal
Amount Paid
Date Paid
Receipt Number
.'
$10,00
$4,50
$3,15
$8,00
$12,00
$12,00
$4,00
$9,00
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
10/6/03
1016/03
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
1200200000000002271
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.
I ReoDired Insoections I
1 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at tbis point.
2 Rough Mechanical: Prior to Cover
3 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
tbat NO OCCUPANCY will be made of any structure witbout 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 projeet.
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
ti;iring onstr ct~~L ~ 10 _ 6 _ 03
Owner or Contraetors Signature
Date
Paee 20f2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0 10 10
COM2003.0IOIO
COM2003-0 10 I 0
COM2003.0IOIO
COM2003.0 10 10
COM2003-0 10 10
COM2003.0IOIO
COM2003.0IOIO
Payments:
Type of Payment
Cbeck
;,~J>!""!'I,~"""...".",
~' .
':'-.A!. .
--^ "',.
',.:;"-".....-. ..
City of Springfield Official Receipt
Development Services Departmen~
Public Works Department
Date: 10/06/2003 9:32:40AM-
Amount Paid
12,00
8,00
12,00
4,00
9,00
10.00
3,15
4.50
$62.65
Receipt #: 1200200000000002271
Description
Furnace. up to 100,000 btu
Air Handiing Unit Up to 10,000
Appliance Vent
Gas Out)ets 1-4
Minimum! Adjustment Mechanical
......Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COMMERCIAL AIR INC
Received By
djb
Check Number
Batch Number
Item Total:
.
Authorization Number How Received
In Person
Payment Total:
Amount Paid
$62.65
$62,65
.