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