HomeMy WebLinkAboutPermit Mechanical 2007-10-22
Status
Issued
CITY OF SYK1NGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01567
ISSUED: 10/22/2007
APPLIED: 10/19/2007
EXPIRES: 04/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 471 S A St
ASSESSOR'S PARCEL NO.: 1703353113300
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install type 2 hood over
Owner: SW AGGART LESTER C & M A
Address: 3276 LAKEMONT DR
EUGENE OR 97408
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
FM SHEET METAL INC
License
89710
Expiration Date
03/15/2009
Phone
541-726-3000
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range 1,2YP'~. ENTION: Oregon Jaw reqUifh~W8rMe/Carport
EnergYfFM")I} rules adopted by the o~g~~w
Sprinlf:l~JtiJMtj1~enter. THti~e rule~H"d:
:~ ""\^.... ~~,.. "C'~ 3" 1 ^ l' I ."1.......
.. -. .......J_ ...,c. "" ~ '''\,Iu.~ i'llJnncr;;;;J4C.-UUI-
I DEVELOPl\tOO'9w.n~ft)~~pies of the rules bv
calling tne centef.ll\JOte: the telephoRlQUlRED PARKING
O I nym~r for the Oregon Utility Notlfi~tlftlll I'
ver ay UISf:- Ce ter is 1-800-a32-2344\ '--'lifJfa .
# Street Trees Rq'9: ,. Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
Description
Type of Construction
MALL t}U"IKI: It' I HI: WUKK
ValuationJlleikifl t1 NDER THIS PERMIT IS NOT
$ P S F SJ1ENCED.OR IS ABANDONED fOR
erlt.ql. t ANY 1 't'I~t. . Value Date Calculated
or mu Ip ler 0 tf{(} ft
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01567
ISSUED: 10/22/2007
APPLIED: 10/19/2007
EXPIRES: 04/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.
Fee Description
-Mechanical Issuance Fee-
. + 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Exhaust Hoods
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$10.00
$40.00
10/22/07
10/22/07
10/22/07
10/22/07
10/22/07
10/22/07
1200700000000001328
1200700000000001328
1200700000000001328
1200700000000001328
1200700000000001328
1200700000000001328
Total Amount Paid
$81.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired Insoections I
Rough Mechanical: Prior to Cover
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.
~~ ~,r-
/0-22-01
Owner or Contractors Signature
Date
Pal!e 2 of 2
225 Fifth Street
SpringfIeld, 'Oregon 97477
541-726-3759 Phone
City of Springfield OffiCial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01567
COM2007-01567
COM2007-01567
COM2007-0 1567
COM2007-01567
COM2007-0 1567
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001328
Date: 10/22/2007
Description
Exhaust Hoods
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
FM SHEET METAL INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
5281
In Person
Payment Total:
Page I of 1
11:38:44AM
Amount Due
10.00
40.00
.20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
10/22/2007