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HomeMy WebLinkAboutPermit Mechanical 2003-10-24 f \. . Status Issued "* . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01084 ISSUED: 10/24/2003 APPLIED: 10/24/2003 EXPIRES: 04/24/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4708 MAIN ST ASSESSOR'S PARCEL NO.: 1702324200105 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Replace rooftop unit Owner: MCKENZIE DAIRY QUEEN Address: 4740 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor SERVICE SPECIALISTS License 140770 Expiration Date 02108/2004 Phone 541-736-3940 BUILDiNG INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Wa~ Type: Sq Ft Basement: ~~ype: St! Ft Garage/Carport .~ Path: ~!::t Other: ~'.c.'\: n... 0 .:-';') ,~ _.>>'" <t.\S'~r:/f:> ~!-9..\IJ'!~us Surface Area: ~l!~~PMENT INFORMA TlON '~'~0~J~0 "'~<''V:0'" ' "~,,,<:-! ~'" ~ 00 0"''If.j:" 0"~~HIREDPARKING ,#~~ ~~~O~~~ Frontyard Setback: q.' ~~ ~ Overlay Dist: 0<:- 'Q~ 0" ?f c/' ~0 ~<!tal: Side 1 Setback: ~<(,. #- ~~ ~ f? ~~. # Street Trees Rqd'o..0Q) 0~ ~oq ~o-s, 0'" 0~ ~cHandicapped: Side 2 Setback: ~~ K,<<:: '!f> ~ "5 n4f Paved Drive Rqd:~, )"o~~ /:- t;:, ~ o~'< 0~'~ ",€~pact: ~~ r;.:,'X ~ ~<<;~, <~ '/>v ~0 " ~v o::.:::;~ !],- Rearyard Setback: ~ ~ x-"5 ~ ~"f- % of Lot Col'-@!'lI~~ 0~ ~ is' ~ ~ .....<'::>'1: Solar Setbacks: '" S _~ <0<::; A<<) ....:s' ~(j COot;:," cP 0'" If R'" r \,~',,, _,,' ."".0 _>-' _~ ~ _.0 _(:< , '-'~' I PUBLIC IMPRQ\JF;~~TS"~0 c.~0 :'''' ,," "'-0' '~~ f?, , " ",t;:,' ~~ ~~"idewalk Type: "r;sJ;;}~0C ~ C. ~~ Downspoutsffirains: ~ B VN SETBACKS Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Palle 1 of2 \ . . CITY OF ~rlUI~uFl~L1J . Building/Combination Permit PERMIT NO: COM2003-01084 ISSUED: 10/24/2003 APPLIED: 10/24/2003 EXPIRES: 04/24/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fr.r.s P3irl 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 $10.00 $4.50 $3.15 $12.00 $33.00 10/24/03 10/24/03 10/24/03 10/24/03 10/24/03 Receipt Number 1200200000000002368 ' 1200200000000002368 1200200000000002368 1200200000000002368 1200200000000002368 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. L.Reouired Insor.etions I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, 1 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 he 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. I'~~~~- 11~?1'J J.q~ Date Owner or Contractors Signature Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1084 COM2003-0 1 084 COM2003-0 1 084 COM2003-0 1 084 COM2003-0 1084 Payments: Type of Payment Check ~ ~~"'-;----, .--' ,: Receipt #: 1200200000000002368 Description -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Furnace - up to 100,000 btu + 7% State Surcharge + 10% Administrative Fee Received By jmp (;heck Number Batch Number Authorization Number Paid By SERVICE SPECiALISTS 1759 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/24/2003 2:46:48PM Amount Paid 10,00 33,00 12,00 3,15 4,50 $62.65 Item Total: How Received in Person Payment Total: Amount Paid $62,65 $62.65 . .