HomeMy WebLinkAboutPermit Mechanical 2003-7-11
I.
.
. U 1 r OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00600
ISSUED: 07/1112003
APPLIED: 07/09/2003
EXPIRES: 01111/2004
VALUE:
Status
Issued
225 Finh Street, Springfield, OR
541-'726-3753 Phone
541-7"6-3676 Fax
541- n6-3769 Inspection Line
~;l'n: ,\ODRESS: 722 PLEASANT ST
ASSE~:SOR'S PARCEL NO.: 1703264208200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Alteration
Residential
I'IW.:ECT DESCRIPTION: New Air Conditioner
O\\'Ill'r: MONTGOMERYYASUKO
A ,Id'",-,,: 722 PLEASANT ST SPRINGFIELD OR 97477
, CONTRACTOR INFORMATION I
Contractor License Expiration Date
PACIFIC AIR COMFORT INC 39237 03/25/2004
,V _,
MONTGOMERY YASYKO {''> "~"'J
-" "'''v'''I....:.
~'\',BmLDING INFORMA nON I ..:f'0 o~ oF j:)" 'Q'
~ '2:J~ 0~ ~~0 b'l; 0<1>
f,.,r:'''ildings: '" ~"~#ofStories: ~otC!;~z",I7>~~..~ ~0 {::o
;. ,.. '''Y Occupancy Group: ~~ #'~<< Height of Structure >:o.....'IJ' !tqEF~~~ ~o $;0
:;..../.,"ary Occupancy Group: ~~ ~<<:; -$ Type of Heat: 0~ b'Q~9,{F\'7.1i'dfbdb"l...~<b ~(J
I'rilll''''~- Construction Type ,,<:8.p ~'5 Water Type: .v~ R'-0 ~'iJ#l\fnt~O i:\'
See""......y Construction Type~ ~'" S>~ Range Type: . 0~' bO i....~~~~g~G~'fr.
#/1" ',:rooms: df~<<:;.f!:?"f- . Energy Path: ,~"0f/J'Ii#.~RIi~~'iJjr':J'I:
",<i,' .J;:- ^ 'S ,,<(- ~<::> ,(,,'</ ..~ _~C;.I:>'" clSli~rvl.tl}l~'~face Area:
-'-' .0;: (.v - v ,"" ,I.. _0\ ';0' :r>>- -~ '" J0 ~--
~~' '2:JQ..~<::>~~'<-~~ '<.. - , DEVELOPMENTINFORM~H.1I~~-i~~(>~1b~0 .~'"
SETB}\~~S~ ~ <;::,<:;;) ~V O' ....~,^~'<;J ,0" ~t- REQUIRED PARKING
~ ~ ~ ~ !!).... ~'" ~ ~(1,~
1'''''''''''"",1 Setback: \.)'5 A. Overlay Dist: ~ <;><:1 fj'li ~'Q0 v- Total:
Si' ':elback:.tf' # Street Trees Rqd: ~.;j Handicapped:
Si : , : . :L'lback: Paved Drive Rqd: Compact:
Con"'actor Type
1\ ll'l"l'lnical
O\\I'L'r
Phone
541-672-9510
Il e" ,',' ....d Setback:
S,' . -' .thacks:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
SI n'!'l Improvements:
SI'lI"" ~l'wer Available:
S;'. 'nstruction:
Sidewalk Type:
DownspoutslDrains:
1\1. "
Paee I of2
$PAINOFlaD.
_,~ ',n """.
.
. \..-11 r VI' /)rRI1"\jlJNELD
Building/Combination Permit
PERMIT NO: COM2003-00600
ISSUED: 07/1112003
APPLIED: 07/0912003
EXPIRES: 01111/2004
VALUE:
:
,
l
~
SI"lus
Issued
22'; Fifth Street, Springfield, OR
541-7~6-3753 Phone
541- i26-3676 Fax
5.".7"-3769 Inspection Line
D{"-eri:>rion
Type of Construction
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
F"",P:IIW
Fe".' 1)""'<.Tiption
-~ 'cw' allical Issuance Fe.....
-l :'". Administrative Fee
+ % Slate Surcharge
A' . """e1ling Unit Up to 10,000
1"'t""Comp Up To 100,000 btu
"';''''''"/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7/11/03
7/11/03
7/11/03
7/11/03
7/11/03
7/11/03
2200200000000001234
2200200000000001234
2200200000000001234
2200200000000001234
2200200000000001234
2200200000000001234
Total Amount Paid
$62.65
I Plan Reviews I
T'! '1lIest an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
. made the same working day, inspections requested after 7:00 a.m. will be made the following work
d.t)'.
I Rl'nuir"tJ T~
Filial Mechanical: When aU mechanical work is complete.
Ih s;."':tl',re, I state and agree, that I have carefuUy examined the completed application and do hereby certify that all
i' ,,, I; Oil hereon is true and correct, and I further certify that any and aU work performed shall be done in accordance with
I: . .: I :t IIces of the City of Springfield and the Laws of the State of Oregon pertaining to the work 'described herein, and
'," Ie:) OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I r"rl',,'r ,'erlify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I r ,rl:"r agree to ensure that aU required inspections are requested at the proper time, that each address is readable from the
streel,lh"l the permit card is located at the front of the property, and the approved set of plans will remain on the site at aU
linll'S (''Iring construction.
~____/1vi
/ --- "
(' '. C'" Cnntractors Signature
1~!/~ [)~
Date
Paee 2 00
225 Fifth Strect
Springfield, Oregon 97477
5..1-726-~7:") Phone
]7,1l.lUllrn:. .,::7llhcr
COM2003-00600
COM2003-00600
COM2003-00600
COM2003-00600
COM2003-00600
COM2003-00600
Payments:
Type of Payment
CreditCard
__OLD
~-!~
:;:.:~ 5' J
._;:~ ~ 10-: __. ~_~.'J:"..JtHI\JU(j.1_~'-;
lJ'''~l'l"ipllUIl
Air Handling Unit Up to 10,000
Boiler/Comp Up To 100,000 btu
-Mechanical Issuance F ee-
Minimum/Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
<':beck Number
Batch Number Authorization Number
Paid By
PACIFIC AIR COMFORT, INC
JInp
000118 011881
City of Springfield Officiai Receipt
Development Sen'ices Department
n. ;;lic \Yorks Department
" -
2:2J:_,:}f'.\1
.l)all': tJ II' .11..;.........13
A muunt Paid
Item Total:
8.00
12.00
10.00
25.00
3.15
4.50
$62.65
How Received
In Person
Payment Total:
.
Amount Paid
$62.65
$62.65
.