HomeMy WebLinkAboutPermit Building 2004-05-13LD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Frx
541-726-37 69 Inspection Line
PERMIT NO: COM2004-0057 6ISSUED: 0511312004APPLIED: 05/1312004
EXPIRESz llll3l2004
VALUE:
SITEADDRESS: 4O2SHELLEYST
ASSESSOR'SPARCELNO.: 1703271007900
PROJECT DESCRIPTION: Replace roof mounted gas pack unit
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Repair Commercial
PhoneNumber: 541-746-8672
License
Owner:
Address:
A-B TECHNOLOGIES INTL INC
402 SHELLEY ST SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Contractor
JOSEPH BUNCH
EUGENE HEATING & COOLING 149452
Expiration Date Phone
541 345-9808
1012212005 541-726-7654
CONTRACTOR INFORMATION
)RMATION
Frontyard Setback: Overlay Dist:
Side I Setback # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: %oofLot Coverage:
Solar Setbacknt"ff il-ttOi',i:--It SjUir ii:rru, Itsi4i.rrI€S yOU tO
Notification Center. Those rul
# 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:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:l'{1rlrtl I
TH IS
Square Footage
or Bid Amount
iffi*rroor.ts/Drains:
PERMIT SHALL EXP
REQUIRED PARKING
Total:
Handicapped:
Compact:
IRE IF THE WORK
NDONED FOR
Street Impr{Or&r{fi1t952-00 1 -00 1 0 th rou g h OAR 952-00 1
^ C090,,YgtJ may obtain copies of the rules b),
3:'":[iff:,""i##Pdthecenter.(Note:theterephone-r----- ----- n-um-ber for the Oregon Utility Notification
Notes: Center;t 1-ftQn-j32-?-344\"
A.LJIHORIZED UNDER THI S PERMIT IS NOT
COMMENCED OR IS ABA
$ Per Sq Ft
or multiplier
DEVELOPMENT INFORMATION
Valuation Descrintion
Description Type of Construction
Paee I of 2
Value Date Calculated
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa'x
541-7 26-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2004-00576ISSUED: 0511312004APPLIED: 05/1312004EXPIRES: 11/1312004
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
5n3t04
5n3t04
sn3t04
5n3t04
sn3t04
Value Date Calculated
Receipt Number
3200400000000000073
3200400000000000073
3200400000000000073
3200400000000000073
3200400000000000073
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.1s
$12.00
$33.00
$62.65
Plan Reviews
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 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
street,the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
5- /3 -of
times
Owner or Contractors Sign
Pase2 of2
Date
Valuation Description I
H ees l-rto I
I(eourred lnsDectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
-ity of Springfield Official Receipt
-revelopment Services Department
Public Works Department
RECEIPT #: 3200400000000000073 Date: 0511312004 3:05:46PM
Job/Journal Number
coM2004-00576
coM2004-00s76
coM2004-00576
coM2004-00576
coM2004-00576
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ l0% Adminishative Fee
Amount Due
12.00
33.00
10.00
3.15
4.50
Item Total:$62.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Cash AUTOMATIC HEAT CO dlm In Person
Payment Total:
$62.65
-$6-r^6-f
5/13/2004 Page I of I
rc