HomeMy WebLinkAboutPermit Mechanical 2003-3-13
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF ~rKll''iuJ<lliLD I
Building/Combination Permit
PERMIT NO: cOM2003-00168
ISSUED: 03/13/2003
APPLIED: 03/13/2003
EXPIRES: 09/13/2003
VALUE:
SITE ADDRESS: 660 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109000
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install 3 unit heaters
TYPE OF USE: New
Commercial
Owner: REMINGTON TERESE
Address: 650 MAIN ST SPRINGFIELD OR 97477
Contractor Type
Mechanicnl
Owner
I CUI' u~ACTOR INFORMATION'
Contractor
COMMERCIAL MECHANICAL INC
REMINGTON TERESE
BUILDING INFORMATION I
License
150959
# of Stories:
o Height of
o~ ': '~"\ :rype of Heat:
0'" -l; \)~ ,0~Water Type:
of ~o~ ",0' ~nge Type:
~ ~0 O~0 'lf0 ~~'l: En~,.gy Path:
~,\'l} >1$'0 ~0'" 'It-<<- ~,s.'<J ~0
_",0 "'~ _ (\:> 0 _",0 ",0 ,"~
\"'~~0~,0~~0"'~0~~~clDEV:EL0PMENT INFORMATION'
. \) (, ~',,~ , '
SETBACKS",'<l' ~0 ~(;) (,0" ," ,\~ ~.
",0- ~0 (p~ ~(;) '~ 0,0' '~~..... ~
Front yard ~thlJ.~J{:, o~ ~(;)v o"",'li ~ ~ \)~ 2;'/; Overlay Dist:
Side 1 Setba~E~\c,~ ~:W ~"\ ~,0(' 0~O ~~':> # Street Trees
Side 2 Setback.5~ ....<<- OJ o~ ~ 0 c,0 00\J?--\!; Paved Drive Rqd:
~ 0'- -l; 'S' 'S' 'c.
Rearyard Setback:~\)' 'ii.~~ ,o~ ~e~'~-
Solar Setbacks: \)\) c,~,~",,0~ (.0<:'
# of Buildings:
Primary Occupancy Group:
Secondary Oceupaney
P'rimary Construction Type
Seeondary Construetion
# of Bedrooms:
Street
Storm Sewer Available:
Speeial Instruction:
Notes:
Description
Expiration Date
04/02/2004
Phone
541-431-0800
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
~Handicapped:
"- ~\j~ ompaet:
"- '\'(\'t. ~\j
% of Lot Coverage: \'i'-'t. \\ ..,\\ \to
't.i-'? '?'t.W'" ",\j'i'-
, . -:;. -1.' !I.\}. ~:'),\S u.\~\)
IPUBLIC~~~M);~~~ \l-'O\l-~\l
,\\\\~~\j'i'-\l~~\) \l ~\\jlSidewalk Type:
\l-~(J~~'t.~ \)~ '?~ Downspouts/Drains
\l-~'{ \~
I Valuation Descriotion I
Type of Construction
Square Footaee
$ Per Sq Ft
1 of 2
Value
Date Calculated
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2003-00168
ISSUED: 03/1312003
APPLIED: 03/13/2003
EXPIRES: 09/13/2003
VALUE:
Status: Issued
225 Fifth Street, SpringfieW, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Totai Value of Proj ect
I Fees Paid ,
Fee Description Amount Paid Date Receipt Number
-Mechanical Issuance Fee- $10.00 3/13/03 1200200000000000826
+ 10% Administrative Fee $5.80 3/13/03 1200200000000000826
+ 7% State Sureharge $4,06 3/13/03 1200200000000000826
Appliance Vent $18.00 3/13/03 1200200000000000826
Furnace - Unit Heater $36.00 3113/03 1200200000000000826
Gas Outiets 1-4 $4.00 3/13/03 1200200000000000826
Total Amount $77.86
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.
~ Reouired Tnsnections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Gas: After line is installed and required testing and capped if not aUaehed to an appliance.
4 Final Gas: Wben all gas work is complete.
By signature, I state and agree, that I have carefuDy examined the completed appliealion and do hereby eertity that all
information hereon is true and correct, and I further eertify that any and all work performed shall be done in accordance
with the Ordinanees of the City of Springfield and the Laws of the State of Oregon pertnining to the work described
herein, and that NO OCCUPANCY will be made of any strueiure without permission of the Community Scrviees Division,
Building Safety. 1 further certity that only contractors and employees who are in compliance with ORS 701.0OS will be
used on this projeet.
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 permitc~:1is Iocat~d at the fro t of the property, and the approved set of plans will remain on the site
at all times during construrn. )' ,
/~// // ,L--t '-7 3-1>-C7<
- ,
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00 168
COM2003-00 168
COM2003-00 168
COM2003-00 168
COM2003-00 168
COM2003-00 168
Payments:
Type of Payment
Check
Paid By
Description
-Mechanical Issuance Fee-
Furnace - Unit Heater
Appliance Vent
Gas Outlets 1-4
+ 7% State Surcharge
+ 10% Administrative Fee
COMMERCIAL MECHANICAL
INC
Receipt #: 1200200000000000826
Date: 03/13/2003
Received By
Check Number Confirm No
djb
Page 1 of I
311312003 i
2:04:07PM
-I,'
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
10,00
36,00
18,00
4,00
4,06
5,80
$77.86
.
Amount Paid
77.86
$77.86
How Received
In Person
Payment Total:
cRoceipt.rpt