HomeMy WebLinkAboutPermit Mechanical 2003-6-6
. CITY OF SPRI~u1'1ELD
Building/Combination Permit
PERMIT NO: COM2003-00467
ISSUED: 06/06/2003
APPLIED: 06/06/2003
EXPIRES: 12/06/2003
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 FRANKLIN BLVD SPACE 1 Eugene
ASSESSOR'S PARCEL NO.: 1703344400102
TYPE OF WORK: Heating System
# of Buildings: # of Stories:
Primary Occupancy Group: R-3 ." '\,0 Height of Structure
"ov .""
Secondary Occupancy Group: ~e<:" 0'i.~':t):p.e of Heat:
Primary Construction Type V~i' ,,0<::'- e' Water Type:
-(6 e'" ? cw
Secondary Construction Type: ?>~' O~ '(}e s~ange)Type:
# of Bedrooms: ~O~\\l'S'e ,>,e<:' ~~g EitetgyPath:
.:>"i:' o'Q e~ 0 K\e'v 0<::'-'" ~
,,->;. ,_~,e .o/Y\O? _, ,Q,"" ,,\ '" ,,,<;>~ ~"O
.,\'V~ \~<:, 0-~<::,-,e~~,() "'~o~IDEVEI;OP~1ENTINFORMA nON ,
SE:rBACKS 100 f;)vG ~~<::'- ~o'''' :is-'''' '01).""
'.,,~O' '~'O:l;G 0'Q ~.~ ~ \:J :1;7:-
Frontyard Se!~~~k: ~~ ~0-'\ e<::,-,e e'Y? .'0"5 Overlay Dist: Total:
Side 1 Setback: O~~ ..J, 0'> K\e G e O~ .'od0 # Street Trees Rqd: Hat\~~l'llPed:
Side 2 Setbac({(.' f;)~c;)' ~,<::,-Q, '" \O~ >IS' ~\<:, \ Paved Drive Rqd: r: \r i~~Jiafcr\
G c,~ e~ ~,e t~?\?" .~\i \'0 ~
Rearyard Setback: :v~'Q Oe % of Lot C.Q~t'. ~ S~~ll ~\S ?t.?'" \)\\
Solar Setbacks: (\ l\ \" ?r.?\>fI\ \l~\)'t.\\ i .\\)Q~'t.\) r
,\,1-\" _,~c:fI _ .tl.M~
'PUBLIC IMP~V~~;"ENtjJ't.\) \)~~\~\).
VV'" \)~\( ?..
~~\( i \)(} Sidewalk Type:
Downspoutsmrains:
TYPE OF USE:
PROJECT DESCRIPTION: Install AC
Owner: GARY HISEY
Address: 4475 FRANKLIN BLVD 12 EUGENE OR 97403
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
GARY HISEY
License
25790
BUILDING INFORMATION I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
Square Footaee
Paee 1 of2
New
Residential
Phone Number: 541-746-3879
Expiration Date
12/23/2003
Phone
541-747-7445
541-746-3879
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Impervious Surface Area:
REQUIRED PARKING
Value
Date Calculated
.
. CITY OF ~rtul~ul'l~LU
Building/Combination Permit
PERMIT NO: COM2003-00467
ISSUED: 06/06/2003
APPLIED: 06/06/2003
EXPIRES: 12/06/2003
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
I Fees Paid I
Fee Description
......Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$37.00
6/6/03
6/6/03
6/6/03
6/6/03
6/6/03
1200200000000001463
1200200000000001463
1200200000000001463
1200200000000001463
1200200000000001463
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I ReolJired Insnections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
h$ /7/~ ~(~Y
Ow~ or Contractors Sign'ture Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00467
COM2003-00467
COM2003-00467
COM2003-00467
COM2003-00467
Payments:
Type of Payment
Check
6/6/2003
City of Springfield <;
Development Services Department
Public Works Department I,
Official Receipt
Receipt #: 1200200000000001463
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
......Mechanical Issuance Fee-
Paid lIy
MARSHALLS INC
11:21:52AM
Received By
djb
Date: 06/06/2003
Amount Paid
Item Total:
3.15
4.50
8.00
37,00
10,00
$62.65
Check Number Confirm No
Amount Paid
How Received
In Person
Payment Total:
62,65
$62.65
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