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