HomeMy WebLinkAboutPermit Mechanical 2003-1-16
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2003-00030
ISSUED: 01116/2003
APPLIED: 01116/2003
EXPIRES: 07/16/2003
VALUE:
SITE ADDRESS: 1545 S BROOKLYN ST
ASSESSOR'S PARCEL NO.: 1703344402800
Eugene
TYPE OF
Heating System
TYPE OF USE:
Repair
Commercial
PROJECT DESCRIPTION: Change out furnace with AC
Owner: LANE COUNTY OWNED LANDS DEPT
Address: 125 E 8TH AVE EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor ~~se
BEYMER HEATING & SHEET METAL~ ~~~
LANECOUNTYOWNEDLAND~~~~,ir~~~~
I BUlLD~~~ON ,
c..~~ (.~ ~~
~~. ~'\ ~~~~~~
~'\~ ~~ '<..~~~'ijf ~.
~ ~S ~ ~~ ~~.D: at:
'\~ ~'\~~~'<..~~~ Type:
~ ~~~' 'O~~nge Type:
() ~~...J..' Energy Path:
Contractor Type
Mechanical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Expiration Date
11/14/2004
Phone
541-688-5004
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
~ ,Sq Ft Other:
eS ~o.. \\~~--\~ious Surface Area:
J '\'<r v <.r' '"
I DEVELOPMENT INFOR~~i6~~~~e S~~~()~,,\
e~\J ")~'\.\,u. ~eS~",~g ~-eS 'REQUlRED PARKING
.0'< eO'.... e'\ Or e '\ ~e
Overlay ~. o.O~~ "'\~OS o~~~ 0\ ~ 0~~O ~<Jbtal:
# S.t{#T;{#~\e'\' ~()~'< ~\eS e\e\!. ~~\C7J: Handicapped:
P~~~~?,()()\'~~\~~ ;O\~~~~ ~~,. Compact:
% ~'~'Uh~e~ ~\e'\' O~ fb?;?;
~ O~' ''-l0>V e C0 O,\e~ ~~,"5
\(\ .,C\. ~ ~~ ~)"e ..,~
IPUBLIC I~~~~~\'O
Sidewalk Type:
Downspouts/Drains
I Valuation Descriotion I
$ Per Sq Ft
Square Footae:e
Value
Date Calculated
1 of 2
>>
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2003-00030
ISSUED: 01116/2003
APPLIED: 01116/2003
EXPIRES: 07/16/2003
VALUE:
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
l Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid Date Receipt Number
$10.00 1/16/03 1200200000000000567
$4.50 1/16/03 1200200000000000567
$3.15 1/16/03 1200200000000000567
$12.00 1/16/03 1200200000000000567
$33.00 1/16/03 1200200000000000567
Total Amount
$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 Reuuired Insuections 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 times during construction.
~A..~/j.ft~~ /-/6'--0 3'
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00030
COM2003-00030
COM2003-00030
COM2003-00030
COM2003-00030
Payments:
Type of Pay men t
Check
Paid By
Description
Furnace - up to 100,000 btu
Receipt #: 1200200000000000567
Date: 01116/2003
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
BEYMER HEATING
Received By
Check Number Confirm No
djb
Page I of 1
1/16/2003 ;
2:22:42PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
12.00
33.00
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