HomeMy WebLinkAboutPermit Mechanical 2003-12-9
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-01226
ISSUED: 12/09/2003
APPLIED: 12/09/2003
EXPIRES: 06/09/2004
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1077 GATEWAY LP
ASSESSOR'S PARCEL NO.: 1703222002604
Springfield TYPE OF WORK: Office
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Repl~ce heat pump
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Owner: SHAGG LLC
Address: 1077GATEWAYLOOP SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIA TED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2004
Phone
541-683-2590
# 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 1 st Floor:
Type of Heat: Sq Ft 2nd Floor:
~ter Type: Sq Ft Basement:
~1:)~~l\ge Type: Sq Ft Garage/Carport
,,~~ ~~ergy Path: ,- Sq Ft Other:
.<- ~ ^,f;:- ~I:)q;.. ''. " J Impervious Surface Area:
<,:~':~ ~fwvkLOPMENT INFORMATION'lv<$' <,r;.,",'c'; r:'
,-""vv' ''t, ,~-
SETBACKS :0- "" "-~ 1}' 0- ie' ,,:<.' <." o.;REQUIRED PARKING
"$:.'f' ~q;.. ':Qr ~" ~" ~ ,"F,~r; ,'. ,']
Frontyard Setback: . ~ ~ ~'V ~ 'f' Overlay Dist: !00 'V.::., cP <; ~ 0'" ~r, '.~l"Total' ,
Side 1 Setback: 4..~~~q;..~ ~ ~ I:)q;.. -&><:::>' # Street Trees !\'1!i" ~'?J\~o~o.:s ~,,;" ,-:f' ,,0 ~o~, Handicapped:
Side 2 Setback:...,-~' <:?,'<.F ~~ <S> <:?,4f Paved Drive Rqd:0d~~. Cl~' c.",'i,,.;,>. "::>.",;" 'Compact:
~ ,.fp ...'V ~<:J ~ ~,u .'Ii' ;,,~0 10' .~, O' _,~ r
Rearyard SetbacI(o~'\'~",' ~~ 'V % of LotCoverage:1- )CI ,r;' ~ ~....., rr
Solar Setbacks, 'f' I:)~ ,~~ 0~~,So",<Jj::Jr;::,'",r!$-\0"ef)Orc';'
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'f'" I PUBLIC IMPRO~EMEN:fSI v~'?J >"
"V' ~ 0' r
'" ~r:;:,' ~~ 0'" ,,rSidewalk Type:
r:;:,1:5 ,,'Ii cO ('
~<$' DownspoutslDrains:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-01226
ISSUED: 12/09/2003
APPLIED: 12/09/2003
EXPIRES: 06/09/2004
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Fees Paid J
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
12/9/03
12/9/03
12/9/03
12/9/03
12/9/03
Receipt Number
2200200000000001850
2200200000000001850
2200200000000001850
2200200000000001850
2200200000000001850
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 Insnections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete,
By signature, 1 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
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
tbat 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 furtber 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 tbe site at all
times during construction,
,
vtL,_~ D~<>~
/)(7/03
Owner or Contractors Signature
/
Date
Pal1e 2 of2
225 Fifth Streit
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0 1226
COM2003-0 1226
COM2003-0 1226
COM2003-0 1226
COM2003-0 1226
Payments:
Type of Payment
Check
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Receipt #: 2200200000000001850
Description
Minimum/Adjustment Mechanical
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
(;heck Number
Batch Number Authorization Number
Paid By Received By
ASSOCIATED HEATING & AlC, jmp
INC.
011009
City of Springfield Olficiai Receipt
Development Services Department
Public Works Department
Date: 12/09/2003 1:21:33PM
Amount Paid
Item Total:
33.00
12.00
10.00
3.15
4.50
$62.65
How Received
In Person
Amount Paid
$62.65
.
Payment Total:
$62.65 '
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