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Home My WebLink AboutPermit Mechanical 2003-7-21 --. . Uli' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00622 ISSUED: 07/21/2003 APPLIED: 07/14/2003 EXPIRES: 01/21/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ml IL-I", IIVI".V"':jl~U'llawY la"iUIlO~ yvu LV SITE AD !'Y'f. r.U1e5 HltlOOOJj3A~V;Om~",regon ulIIny, ).P.!~ s: CfjU2 Hi ,."';,~ Springfield TYPE OF WORK: Heating System ASSESSOW t~e~!05~rr'M 32folif~~re set lo~ In :> -uo . nro~g R 952-00 TYPE OF USE: Repair Commercial PROJEdfCW€SC~pfloN?bR1!W1f~ll!ii~iilW'o'MiW>>t'p'llt!kage AC/gas heat call.ing the center. (Note: the Telephone Owner: Address: IlunlUCI IVI 1I10 VIC'~VII VUI"Y I~VUII""aLlUII 11~tT~~~~~![~'i~4AhROP TAX ADMIN C~ICAGO IL Contractor Type Electrical Mechanical Contractor BUILDERS ELECTRIC INC COMFORT FLOW I CONTRACTOR INFORMATION I NO'llIe. II ~ I I EXPIQE IF 1\1E WORK 1\1\S PEF\M\1ti~~ns~ 1 rH~~~If1~J\O~J Date p>'l]1\1Q\'IIIEC4296JLR. N[/,~~/~0(2.9P~ ,..nt^I,~I'NCEt!60r\ I::: t,j,\ UO'J'/27/2005 BUILDING lNFORMA:FION'lii'UU' Phone 541-485-0922 541-726-0100 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paeel of 3 . 'iii;' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuai'ion Deseriotion I II II Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fppo, p"W Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical Miscellaneous Mechanical + I 0% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $28.00 $9.00 $4.50 $3.15 $43.00 $2.00 7115/03 7/15/03 7/15/03 7115/03 7/15/03 7/15/03 7/21103 7/21103 7/21103 7/21103 Total Amount Paid $115.30 I Plan Reviews I, . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00622 ISSUED: 07/21/2003 APPLIED: 07/14/2003 EXPIRES: 01/21/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001759 1200200000000001759 1200200000000001759 1200200000000001759 1200200000000001759 1200200000000001759 2200200000000001282 2200200000000001282 2200200000000001282 2200200000000001282 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 RP'WW'rl Ino~ I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Final Electric: When all electrical work is complete. Paee 2 00 . . Ll1}' OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00622 ISSUED: 07/21/2003 APPLIED: 07/14/2003 EXPIRES: 01/21/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 wilhont 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 ofthe property, and the approved set of plans will remain on the sile at all f7;'~~ ~Uu>-I- ~/;).II oj Owner or Contractors Signature \ Date Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone iraNO"BLD' , Wi:' ''''='H=''''','''' .1 " .,-,.~. i ','" .~. c. ...........".""'.... .^ ~.../' -. ...j Receipt #: 2200200000000001282 Job/Journal Number COM2003-00622 COM2003-00622 COM2003-00622 COM2003-00622 Payments: Type of Payment CreditCard Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By BUILDER'S ELECTRIC Check Number Batch Number Authorization Number Received By njm 000124 026342 City of Springfield Official Receipt" Development Services Department. Public Works Department. Date: 07/21/2003 2:16:03PM Amount Paid Item Total: 43.00 2.00 3.15 .4.50 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65 . .