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HomeMy WebLinkAboutPermit Mechanical 2003-4-23 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00299 ISSUED: 04/2312003 APPLIED: 04/23/2003 EXPIRES: 10/23/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4629 BLUEBELLE WAY ASSESSOR'S PARCEL NO.: 1702324305900 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Replace outdoor heatpump and all duct work Repair Residential Owner: HALL TAMMY JO Address: 4629 BLUE BELLE WAY SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor COMMERCIAL AIR INC HALL TAMMY JO License 110075 Expiration Date 12/18/2005 Phone 541-461-4821 I BUILDING INFORMATION I Street Improvements: # of Buildings: Primary Occupancy Group: Secondary occupanc~~Group : Primary Consf1!c~ e Secondary C~~~~ e: ~~ ~.r~ ;I-. /- # of Bedrov~: ~~ <P~. v~ 01-. ,,~ c.9.s: 0.., \S\ ~ . 0 ~~ ~1).-1,!.:) 0- OS "'1." '~6~~N~~ UO~"'?1>,...'O<$O': O,,>~ I DEVELOPMENT INFORMATION I SE.!.na ~ ~O' /:. <5 ~tv a~~~~%~~ ~ Front yard S~c~ ~t$ ~h 0~ U'& r. (9 Q 90 Overlay Dist: ~ ~ ~ Side 1 Setback:~""4 ~cs>. ~ ~ 090 ~~Q vi>\5' ....~.,.&U' # Street Trees Rqd: ~ ~ <fA ~ Side 2 Setback: /(2;90.., 0<$. ~\5' 0 ~r. 0.., :.t-O<-Paved Drive Rqd:"?4J ~~ ~ . ~o. ~. ~ 0;" ~-9 & ~. '0 ').- .~. ~ ~ Rearyard Setback: O>c..? ~~~ (9 l: ~ c.9.s: \5'&1' ~1/o of Lot Coverage: ~ ~ <2> ?'& Solar Setbacks: ~B~~&~ (9,...~ ~'Q;Q~ (?~ ~ 0t_~ ,., . Df.';'(),( ~.. ~. r ~I 11 'Y"'l V.. ..~ '?'O<$)~~,?& I.lWIJBLIC IMPROVEMENTS I . ~.yi~-9 ~ ~ ~.., ~~~ .-~;c~ Downspo~~~ ~~(<\~ ~W~~ ~ 'O,?o '1- # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft Square Footae:e Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00299 ISSUED: 04/23/2003 APPLIED: 04/23/2003 EXPIRES: 10/23/2003 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' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Pai Receipt Number $10.00 4/23/03 1200200000000001063 $4.50 4/23/03 1200200000000001063 $3.15 4/23/03 1200200000000001063 $8.00 4/23/03 1200200000000001063 $12.00 4/23/03 1200200000000001063 $25.00 4/23/03 1200200000000001063 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. I 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 tim~~t~~v ~fA~ ~ Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .ne Items: Job/Journal Number COM2003-00299 COM2003-00299 COM2003-00299 COM2003-00299 COM2003-00299 COM2003-00299 ....'tyments: Type of Payment CreditCard Paid By Receipt #: 1200200000000001063 Date: 04/23/2003 Description Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No COMMERCIAL AIR 00049 023466 lIh Page I of I 4/23/2003 2:09:38PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 8.00 12.00 25.00 10.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62,65 $62.65 Payment Total: cReceipt.rpt