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HomeMy WebLinkAboutPermit Mechanical 2005-5-19 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00596 ISSUED: 05/19/2005 APPLIED: 05/19/2005 EXPIRES: 11/19/2005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 3444 MAIN ST ASSESSOR'S PARCEL NO.: 1702313100800 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump TYPE OF USE: Repair Commercial 'PUBLIC IMPROVEMENTS I t-!01\CE', ^LL EXPIRE If 1\1\; 'N~\~\Js~ewalk Type: ERMll S\-I" PeRMI1 IS" \ 1\-1\S P ED \.1NDER 1\-1\S C::\) fOR DownspoutslDrains: 1\\.11\10RI2 0 OR IS I\BI\NDON6 COM~BE()N~~'{ PERIOD. I\N'{ I . " : Owner: Address: THOMPSONS MARKET 882 WILLOW AVE EUGENE OR 97404 . Orego,l.ti(oJ,~~~~~fORMATlON I AtTENTION. ted b'i .LnU ~. - ra set 'OM . Contractor Type t<\\\~~OPr. 'those rules ~R 952-00'. LIcense Mechanical ..\^~~~~tAJR~~~ 3 '.~~ ,"les?Y 110075 In OAR:;':J may obta'''BmLfiiNm:F0RMATlON I 0090. ,au enter. {,I.(.. .' L'o\\M..\HI'-. r 9 tne c 1I~\ l)y I~ # of Units: cal In 'or the oregonlri ~!!.ril\-\; Primary Occupancy Groumumber nter is ,-800it (gilt of Structure Secondary Occupancy Group: ce Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: SprinkJed Building: n/a I DEVELOPl\>u.l" mrORMATlON I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: ., Description I Valuation Descrintion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Type of Construction Paee I of2 Phone Number: 541-746-9979 Expiration Date 12/1812005 Phone 541-461-4821 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: Value Date Calculated . . CITY OF :srKll'l'-Jl'lJ!.,LV Building/Combination Permit PERMIT NO: COM2005-00596 ISSUED: 05/19/2005 APPLIED: 05/19/2005 EXPIRES: 11/19/2005 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 F..... P"LILI Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid SIO.OO $4.50 $3.15 $12.00 $33.00 5/19/05 5/19/05 5/19/05 5/19/05 5/19/05 Receipt Number 1200500000000000647 1200500000000000647 1200500000000000647 1200500000000000647 1200500000000000647 Total Amount Paid S62.65 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. I ~"~"dio~ Rough Mechanical: Prior to Cover 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 furtber 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 tbe 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 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. 7~ Q;.;erc;;:" ~tors Signature f,)<;hs Date /' 'I' Pal!e 2 of2 225 Fifth Street Sprin.l~field..Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00596 COM2005-00596 COM2005-00596 . COM2005-00596 COM2005-00596 Payments: Type of Payment Check ~ I . '( . i{ I . 5/1912005 . RECEIPT #: [~."!~1~,""." .,'.,.,"',.,,'. 1IiE' , -.. , " " .' " .:.t " . .'q'",'",,,, .... . dn....'........,._ . oiIIIIIiiiIty of Springfield Official Receipt _evelopment Services Department Public Works Department 1200500000000000647 Date: 05/19/2005 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fec- Paid By COMMERCIAL AIR INC Item Total: Check Number Authorization Re.:eived By Batch Number Number How Received djh 2290 In Person Payment Total: Page I of! 2:48:30PM Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65