HomeMy WebLinkAboutPermit Mechanical 2005-7-7
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspect!on Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00862
ISSUED: 07/07/2005
APPLIED: 07/07/2005
EXPIRES: 01/07/2006
VALUE:
'*
SITE ADDRESS: 4440 MAIN ST
ASSESSOR'S PARCEL NO,: 1702320000402
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace roof cooling unit
I CONTRACTOR INFORMATION I
01.1\0
Contractor tequiteS 'I \}\ili~ License
MARSHJ\~f.J\ ~ ".P.Gol' . 'nl'\n 25790
:{"{\:.~OW d~?\ed '0'1 ~f,BeJremNGINFORMA nONI
P\ (\lIeS 8 t 1no$ h {'P ,:'s VI
, # of Units: \OI~O~0.\iOl' ce~~O\O \NO\l~s oJ 1.'1~~~~:l
Primary occupa~~~~If.>'2..()O O'O\5ll' CO~e' \\'Beighr~f.l.\\ol'
, Secondary occuPaik9.~~ou (1'10.'1 et\\et. \.~o D\MIJYP~\W1Ieat:
Primary ConstructlO'n .~ \ne C e Qte90t\ 3'2.~teI\Type:
Secondary Construct! ' Det ,ot \n is ,\_~OO,3 Range Type:
# of Bedrooms: (\1.1(1'1 cet\\et Energy Path:
Sprinkled
Owner: ANDREW HEAD
Address: 1616 ARDENDALE LN
EUGENE OR 97405
Contractor Type
Mechanical
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-521-3403
Expiration Date
12/2312005
Phone
541-747-7445
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IpUBLIC IMPROVEMENTS I
. \'I~
1\'11'. II' 1\-11'. \N~'OISidewalk Type: '
':nCt:, f\\.\. ri..? \o!Ill IS "
~.1 I'.\'IMll S\-I \'I I\-\\S ?I'.\'I 1'0\'1 Downspouts/Drains
1\-11S ?O\'llll'.O UI'IO\ f\\)f\I'IOOI'lI'.O
f\U\\-\ CI'.O 0\'1 Iv
COWi\'.i\1'.1'I f\'1 ?I'.\'IIOO.
..,oJ \\)Q \)
I Valuation Descrintion I
$ Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
I of 2
.
. CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2005-00862
ISSUED: 07/07/2005
APPLIED: 07/07/2005
EXPIRES: 01/07/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fees Paid I
Fee Description
-Mecbanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcbarge
Heat Pump
Minimum/Adjustment Mecbanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
7/7/05
7/7/05
7/7/05
7/7/05
7/7/05
Receipt Number
1200500000000000959
1200500000000000959
1200500000000000959
1200500000000000959
1200500000000000959
Total Amount
$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.
Rough Mecbanical: Prior to Cover
Final Mechanical: When all mecbanical 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certifY that only contractors and employees wbo are in compliance with ORS 701.005 will be used
on this project.
I furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from
tbe street, that the permit card is located at the front of the property, and the approved set of plans wiD remain on tbe site
at all times during constructiolL
~c7~ ~-'___ ~ />- 7~C'-r-
Owner or Contractors Signature
Date
2 of 2
r
225 Fifth Street
~pringfielll, Oregon 97477
54P726-3759 Phone
.
~
JiJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Joh/Journal Number
COM2005-00862
COM2005-00862
COM2005-00862
COM2005-00862
COM2005-00862
Payments:
Type of Payment
Check
!l
!j
'I
7/7/2005
RECEIPT #:
1200500000000000959
Date: 07/07/2005
Descrlpdon
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INe
Item Total:
Lheck Number Authorization
Batch Number Number How Received
18702 In Person
Payment Total:
Received By
djb
I of 1
1:50:42PM
Amount Due
3.15
4.50
12.00
33.00
10.00
$62,65
Amount Paid
$62.65
$62,65