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