HomeMy WebLinkAboutPermit Mechanical 2004-8-19
Status
Issued
.
. CITY OF ~rKlNGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-00996
ISSUED: 08/19/2004
APPLIED: 08/11/2004
EXPIRES: 02/19/2005
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4360 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323102800
Springfield
TYPE OF WORK: Heating System
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Install gas furnace and a/c.
Owner: SULLIVAN JOINT TRUST
Address: PO BOX 41404 EUGENE OR 97404
Phone Number: 541-726-3102
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
Expiration Date
12/23/2005
Phone
541-747-7445
I BUILDING INFORMATION I
# of Units: '
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
H~ht of Structure Sq Ft 1st Floor:
~J?...,\"f Heat: Sq Ft 2nd Floor:
VN x-<<.:~"W~r Type: Sq Ft Basement:
~ '" ~ -ro;~ge Type: Sq Ft Garage/Carport
~<<.,~ ~~ ~rgy Path: Sq Ft Other:
{?"I r:'.. ~<() *~prinkled Building: n/a -"Occupant Load:
~. ,,''J ........CS ...'- ~
. ~~~~"\I,W\:VELOPMENTINFORMATION 'fo~V~~~~~-: '
~. ~S\:)~<;;) ~'t~. & ~~ ",0-nj;)I:)'Q~QUIREDPARKING
~ ~~~ <:0~ ~ ,,60,,6 ~00;,<,jv!,>
Front yard Sethack~ ~<.; .if ~ f<,~ Overlay Dist: ,'I>~ 0 !'> 'I)' ~ ,,~6 ~(fotal:
Side 1 Setback: ~ ~C:> x-<:0~ ~~<<; ~ ~ # Street Trees Rqd: o~ ~ '$' ,,~0 O'f' '$'0 ~o W'~dicapped:
Side 2 Setback: '" ~"'. ~~ '::::. '\;) Paved Drive Rq'b,,0~~~'Q 0",0 ~(f !'> & ,,~0 .~<7f:ompact:
Rearyard Setback: 'f' ~<:0"~\ ,'0 % of Lot Cov~g~<:>~ '\'<:' ~o R~ '$'0 ~cSl >:\.
Solar Setbacks:,:f _~{) f> 'I)' ~e\"....I:). ~ <:,0 0....0. ~~ nrl'
~,... ,,0 r0 c:s ,QIi .-" ,,\ ~;v
...,- .
...". ,,- '" .'" ~ ~ ~:-.. ,;)..
I PUBLIC I~QV~E~S:I\O ~e\' ~e~O ~~~
,J .~- -J " c,6 Q ~
~O~ ~ ,'Ov ~e '$'<St!ls'Walk Type:
,- 0 ..... " ~ ~~
'-$' l:JO;,I:)' {;!;:."'~ 0\,0 0",'DownspoutslDrains:
c:s c,'I)' f'i C;
",v
B
.";;,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtionl
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Page 1 of2
\
Status
Issued
225 Fifth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fcc Description
-Mcchanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Camp 3-15 HP
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
SUB Review
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00996
ISSUED: 08/19/2004
APPLIED: 08/1112004
EXPIRES: 02/19/2005
VALUE:
~ Fees t.iWU
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$22.00
$12.00
$4.00
$7.00
8/19/04
8/19/04
8/19/04
8/19/04
8/I9/04
8/19/04
8/I9/04
2200400000000001073
2200400000000001073
2200400000000001073
2200400000000001073
2200400000000001073
2200400000000001073
2200400000000001073
$62.65
I Plan Reviews I
08/11/2004
08/19/2004
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.
I Reouired Insneetions I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical 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 Ordinanccs 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 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
street, that the permit c rd is located at the front of the property, and the approved set of plans will remain on the site at all
~~ructi n.
/'PJ
Owncr or Contractors Signature
A 1C(-oL/
\
Date
Page 2 of2
225 Fifth Street
. ,..,
Springfield, Oregon 97477
541-726-3759 Phone
.
8:P'~~(~QFI_,,~__ d__' ~',
liar,
l :
-,.._-~... .
Job/Journal Number
COM2004-00996
COM2004-00996
COM2004-00996
COM2004-00996
COM2004-00996
'" COM2004-00996
COM2004-00996
Payments:
Type of Payment
Check
'"
:q.
8/19/2004
RECEIPT #:
2200400000000001073
Description
Furnace - up to 100,000 btu
Boiler/Comp 3-15 HP
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fcc
Paid By
MARSHALL'S, INC.
Check Number
Batch Number
Received By
jmp
Page I of 1
as of Springfield Official Receipt
-'elopment Services Department
Public Works Department
Date: 08/19/2004
Item Total:
Authorization
Number How Received
18151
In Person
Payment Total:
I :49: II PM
Amount Due
12,00
22,00
4,00
7,00
10,00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65
. .