HomeMy WebLinkAboutPermit Building 2003-12-1
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. CITY VI' :srK11~GI'u..L1J
Building/Combination Permit
PERMIT NO: cOM2003-01l93
ISSUED: 12/01/2003
APPLIED: 1210112003
EXPIRES: 06/0112004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3998 FRANKLIN BLVD SPACE I Eugene
ASSESSOR'S PARCEL NO.: 1703344202400
TYPE OF WORK: Single Family Residence
TYPE OF USE:
Alteration
Residential
PROJECT DESCRIPTION: Replace furnace.
Owner: HOVER MEREDITH V
Address: 3998 FRANKLIN BLVD #36 EUGENE OR 97403
Phone Number: 541-746-0035
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Contractor Type
Mechanical
,I CONTRACTOR INFORMATION I
Contractor License
ASSOCIA TED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/3112004
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
*-
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~\';D~~OPMENTINFORMATION I 00~~~~ ,
<, ~ _~, ';:)'<' 0"" ~ v~ ,0' REQUIRED PARKIN(;
R-'" ~"" ~ '>~ O~ 0' ~v .
Front yard Setback: {?'" Q.~ ~<v\:> Overlay Dist: ,0~ ,0C$ ,0<;; b'l: 1\ital:
Side I Setback: .;:y <<; '\~S ~\:><:::s # Street Trees Rqd: ,'lJ.~ 00 "" 'lj ~ Q) ,0'fHagdicapped:
Side 2 Setback: c..~"f. ~~ ~"f. Paved Drive Rqd: o~ A'S' ,.s0 O~;s.0 ~€~~pBct:
~. ~-;;> ~<:::s f,,"f. ,0C$ 0'<,) S0 ff 0' :-..0~,,,'lj
Rearyard Setb~..~~~ ~ \S R- '\ 5::J\:>' % of Lot Coveragf'i R,1li -<.,"C-O ,0" '~0"" 0 ,Ili o;$-~
SolarSetba~'\: 'X~ 'M-<.0(~<:::Sr,<vi.$ ",O'<:-'lJ.Oo 0" (;);s. O~. .~,_\~~.
~.... .,~ ......q.:: ("'V . x _\.' e. .......'\: ,,'\ .... G ..0 .,~ t'\bc'
~~\::i'\~~'<)~ \:>~. I PUBLIC IM.fROY.EMENTSJI ~'<,)'''''~,.~~~~~~'liV
('<:::S ,~ ~,- 'lJ.- q, 'lJ.-\ >::-1 ,eC$ ",ly
Street Improvements:~ ,0 'So," C?)J ~ "Ili Sidewall{ Type:
~ o~ ~ 00 ~0 ~0~c- ".
Storm Sewer A vailable: ~ O~" -.l. .... '" 0'''' Downspouts/Drains:
~ ~", .~'" \i ,v
Special Instruction: ~ "CS .ff' 0' C"<"
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R-3
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
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SETBACKS
Notes:
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I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Page I of2
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. CITY OF SPRIN\...I'IJ!,LD
Building/Combination Permit
PERMIT NO: cOM2003-01193
ISSUED: 12/0112003
APPLIED: 12/0112003
EXPIRES: 06/0112004
VALUE:
<'.
Status
Issued
'I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Fees Paill I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
1211/03
12/1/03
1211/03
12/1/03
12/1/03
2200200000000001821
2200200000000001821
2200200000000001821
2200200000000001821
2200200000000001821
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.
Reonired Insnectiono'
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examiDed the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 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.
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t:x1~,{)ed~~
Owner or Contractors Signature
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Date
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CITY OF ~.'RINGFIELD, OREGON \-.j
225 FImi STREET. SPRINGFIELD, OR 97477. rH:(54 1)726-3753 . FAX: (541)726-3689
City Job Number C. 0 l"\ "l00 ~ - 0 II Cl. ~
LOCATION or PROPOSED WORK: fJ'1PfJ ff~wSIt/tL- #...rh
T' 'X LOT'. \ L O~ '"3, 4-4-'-0 2.A'C:O
ASSESSORS MAP: ~
OWNER' Mt//..Jj /f.r.- lib /7I/"u
ADDRESS: Wqt; fr~(I'I-L B/lld- #~4
CITY: 51>i/10
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PHONE:
J~tL..tJo.u-
STATE:
~
ZIP:
DESCRIPTION or WORY'
NEW: _ REMODEL:_ ADDITION-
.
CONTRACfOR'S NAME
GENERAL:
PLUMB INC'
MECHANICALb/l/..l"dU
ELEcrRJCAL:
I MECHANICAL PERMIT
furnace
Exhaust Hood
Vent Fan No.
Wood Stove/Insert/Fireplace Unit
Mechanical Permit
State Issuance
Administrative fee
State Surcharge
Total Mechanical Permit Fees
~ MISCELLANEOUS I'ERMiTS
~ Demolition
~ State Issuance
r l State Surcharge
& Total Misccllaneous Permits
~ "&At. ~1!.., '~~11
.u.W.ILe\'.il(.t!.~.IDlll.~
Administrative Fee
orMOLISH'
OTHER:
ADDRESS
CONST.
CONTRACfOR #
t/.u.hn4 I/fl~ J1 ~ /O~.)-7.J
1
PlOMllING I'ERMIT
ITEM
Fixtures
Residcntial Bath(s) No.
Sanitary Scwer IT.
Water IT.
Storm Scwcr IT.
Plumbing Permit '
Administrative Fee
State Surchargc
Totall'lumbing Fees
Total Mechanical Permits
Total Plumbing Pcrmits
Total Misccllaneous Permits
roTAL
en 4-0~
VALUE:
EXPIRES PHONE
tp'6'J-p,n>o
FEE
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