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HomeMy WebLinkAboutPermit Mechanical 2005-7-7 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0086I ISSUED: 07/0712005 APPLIED: 07/07/2005-' following EXPIRES: 01107/2006 VALUE: . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line '* SITE ADDRESS: 4213 Main St . ASSESSOR'S PARCEL NO.: 1702323201900 Springfield TYPE OF Healing System PROJECT DESCRIPTION: Replace ac unit outdoor for Cash King TYPE OF USE: Repair Commercial Owner: Address: DONALD V PFEIFER TRUST 326 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor GREGORY ALAN ANDERSON License 135755 I BUILDING INFORMAJ:IONI onlawre4"'''-.!\' .' # of Units: ATTEtmON: Orag M"~r.ilfSlgon Utility . Primary Occupancy Group: tollOW rules adoPte'TlM!ll!ttllffiS are set lorth: . Secondary Occupancy Notification center'1~~.!l~\lIeaw. 952-001 Yrimary Construction Type\n OAR 952-001-00 . ~\~DHhe rules by Secondary Construction 0090. '(ou may obtai M!\'e!'YP..t':elephone # of Bedrooms: calling the center. r1'rot/;itlJll,otilicatlon number ~or ~~~,~~'d6"3'~.oc!2344). nla "'......~ - I DEVELOPl\ou.". "".ORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay D1st: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Street . Storm Sewer Available: Special Instruction: Expiration Date 06/2112007 Phone 541-461-1282 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOTICE: IF 1HE WORK S PEDM\1 SHI\LL EXPIRE 1 ISDownspoutsiDralns 11'11 n IS PERM! I~U I I\U1HORIZEDUONRDi: ;~I\NDONED FOR . COMMENCED tiNY 180 DI\Y PERIOD. Notes: I Valuation Descriotion I Description $PerSqFt or multiplier Square Footage or BId Amount Type of Construction 1 of 2 Value Date Calculated . . CITY OF SrKll~GFIELD: 'Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00861 ISSUED: 07/07/2005 APPLIED: 07/07/2005 EXPIRES: 01107/2006 VALUE: Total Value of Project Fpps Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge BollerlComp Up To 100,000 btu Minimum/Adjustment Mechanical 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 1200500000000000958 1200500000000000958 1200500000000000958 1200500000000000958 1200500000000000958 Total Amount $62.65 I Plan Reviews , To Request an inspection can 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. win be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When 'all mechanical work is complete. By slgnatore, I state and agree, that 1 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 structore 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. 1 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 wiD remain on the site at a tim~~7ft f?n~tru~~IOn. ,JU (c( ') c) S- '-- I ,~ ~ o ner or Contractors SigDliture Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 54);-726-3759 Phone " . ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-0086I COM2005-0086I COM2005-0086I COM2005-0086I COM2005-0086l Payments: Type of Payment Check 7/7/2005 RECEIPT #: 1200500000000000958 Date: 07/07/2005 Description + 7% State Surcharge + 10% Administrative Fee Boiler/Comp Up To 100,000 btu Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By ANDYS HEATING AND AC Received By djb 1 of I Item Total: LbecK NumDer AUUlortzation Batch Number Number How Received 1009 In Person Payment Total: 10:S2:llAM Amou nt Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65