HomeMy WebLinkAboutPermit Mechanical 2008-3-11
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00331
ISSUED: 03/11/2008
APPLIED: 03/11/2008
EXPIRES: 09/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. SITE ADDRESS: 4225 MAIN ST
ASSESSOR'S.PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: I New
Commercial
PROJECT DESCRIPTION: Install 2 heat p'umps
Owner: VIRGINIA E PFEIFER TRUST
Address: 326 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ANDY'S HEATING AND AIR CONDlTIONIN 1644.97
BUILDING INFORMATION I
Expiration Date
07/11/2009
Phone
541-461-1282
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: .
# of Stories:
, Height of Structure t
. Type of Heat: u'teS ~OU . ~
. '. waterl' 'a'll te~Ote90(\ U\~\\~h
___~...o b \"e set ,o'~
"'11'EN1u~~:?:t1 ~h~se {uleos ~ 9S2-00~~
\ ~\0V4 to. ~~r.~l n g" eS '"
. 0 "\\00.\\611 ~flmD ,as 0\ \"e tbne
1"O\\=rt\.C\O 1 -~.. ~~ \ ".a'p.~ 'r
~:J~~Jwi~f~ . ~-..~au",'.
ca\\~\;; \"e ~~2-' .
"utn~\s~~l>\it~
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Xt 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occupant Load: .'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
\ Total:,
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
. SiM~~
' ~V\~~t:~\l.}iU/Drains:
~O"t\C~.' ~~ ~~~~i\\ \~\S ~~ to"
\~\S \'~~\tt\) U~~ \S ~~(\\\\)
~\)\\\ 1\~~Ct\). ~c~\O\)' _
, \:)\:\]\,. \)1\' \ '
I V aluaCi.~ ~~~cripti6n I
" .
Notes:
Description
Type of Construction
",$ Per Sq,.t:t, .
or multiplier
Square Footage
or Bid Aniount
Value
Date Calculated
Page 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. 1 . ~ .
. \' " l
Total Value Of Project
L.,.Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$28.00
$22.00
3/11/08
3/11/08
3/11/08
,3/11/08
3/1.1/08
3/11/08
Total Amount Paid
$83.50
I Plan Reviews I
SUB Review
03/11/2008 .
03/11/2008
APP JF
CITY OF SPRINGFIELD
Building/Combin'ation Permit
PERMIT NO: COM2008-00331
ISSUED: 03/11/2008
APPLIED: 03/11/2008
EXPIRES:. 09/11/2008
VALUE:
Receipt Number
1200800000000000221
1200800000000000221
1200800000000000221
1200800000000000221
1200800000000000221
1200800000000000221
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
. a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be ,made the following
work day.
Reauired 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
djjffi locateda' t:ont of the proper~, aod the app; ;;;;~I ;a;o on the sUe at all
Owne!;,r Contractors SignatureDate
Page 2 of2
225 FJftb. SJreet
SprIngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0033I
COM2008-0033I
COM2008-00331
'COM2008-0033I
COM2008-0033I
COM2008-0033I
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
,
Paid By
ANDYS HEATING AND AIR
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000221
9:35:31AM
Date: 03/11/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
28.00
22.00
20.00
2.50
6.00
5.00
$83.50
Amount Paid
djb
$83.50
$83.50
1472
In Person
Payment Total:
Page 1 of 1
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