HomeMy WebLinkAboutPermit Mechanical 2005-6-30
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Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00764
ISSUED: 06/30/2005
APPLIED: 06/21/2005
EXPIRES: 12/30/2005
VALUE:
225 Fifth Street, Springfield, OR
541"726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4765 MAIN ST
ASSESSOR'S PARCEL NO,: 1702320000102
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Change out 5ton lennox unit
Owner: SPRINGFIELD CITY OF
Address: 255 FIFTH STREET CITY HALL
SPRINGFIELD OR 97477
Phone Number: 541-726-3737
I CONTRACTOR INFORMA nON I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMA nON I
Expiration Date
06/27/2007
Phone
541-726-0100
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOT/fIE'
'1'",,-- .
I DEVELOPMENT INFORMA~illN'~~MIT SHAL
COM 1l!,,'zED UNO L EJfJJfflP1RD PARKING
Overlay Dist: ANY MENCED OR ER TfItSta't'R THE WORK
# Street Trees Rqd: 180 DAY PE /S ABAffPll1Af,aU6lJS NOT
Paved Drive Rqd: R/OD. Comp'!fct! FOR
% of Lot Coverage: '
,-
ATTENTION:Oregon laW rep.PVBf.Je'f)\1PROVEMENTS I
Street ImproYl!li\lJ!ntstJles adopted by the u, ''''''r~s~t fo'rt~;
HI' Ii n Center, Those ru es a
Stor?, sew~S\'V~Il\l~~2_001_001 0 through OAR 952-001
Speclallnst\lO~~ btain copies of the rules b,
0090. :ou :a~e~ter. (Note: the telephone
Notes: calling t Utility Notification
number for the Ore~~~ M" ""AllI
v':tllltll I.::>> I ....""'- - ~
I Valuation Descriotion I
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
. CITY U.. ~r'Ku~~nELD ..
Building/Combination Permit:
PERMIT NO: COM2005-00764
ISSUED: 06/30/2005
APPLIED: 06/21/2005
EXPIRES: 12/30/2005
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
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
Receipt Number
1200500000000000921
1200500000000000921
1200500000000000921
1200500000000000921
1200500000000000921
Total Amount
$62.65
I Plan Reviews I
SUB Review
06/21/2005
06f24f2005
APP JF
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover.
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 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 stree t the permit card is located at the front ofthe property, and the approved set of plans wiD remain on the site
at all Ii during ~struction.
/ J'I'\' '-111 L if;. 3D-OS-
/'e.l "
o ,. or Contractors Signature Date
2 of 2
225 Fifth Street
Spl'iJ1gfteId, Oregon 97477
541-726-3759 Phone
Job/Joornal Number
COM2005-00764
C'OM2005-00764
COM2005-00764
COM2005-00764
COM2005-00764 (
Payments:
T)lle of Payment
CreditCard
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6/30/2005
.
RECEIPT #:
6
.Jri,!,ty of Springfield Official Receipt
wvelopment Services Department
Public Works Department
1200500000000000921
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustme'1t Mechanical
-Mechanical Issuance F ee-
Paid By
TONY SCHOOLCRAFT
Received By
djb
1 of 1
Date: 06/30/2005
Item Total:
Lneck Number AutllonZBttOD
Batch Number Number How Received
070923 In Person
Payment Total:
11:02:12AM
Amoont Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
$62.65
$62.65