HomeMy WebLinkAboutPermit Mechanical 2005-7-6
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0076(i
ISSUED: 07/0612005
APPLIED: 06/21/2005
EXPIRES: 01/06/2006
VALUE:
_~~~Ii~~!'!~~~~' .
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.
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
SITE ADDRESS: 1195 MAIN ST
ASSESSOR'S PARCEL NO.: 1703354107600
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Replace package gas furnace and ac
TYPE OF USE: Repair
Commercial
Owner: COLE JEFF A 1-2
Address: 2783 RIVERW ALK LP
EUGENE OR 97401
'CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
GREGORY ALAN ANDERSON
License
135755
I BUILDING INFORMATIONI
# of Units: # ofSturie~: esVOUto
Primary Occupancy Group: N' oregofftigftA1\U r on Utility
Secondary Occupancy AiiENTlO. tedI\Yy~iFelNl set,orth
P'rimary Construction Type lollOW rules adop i!l!r~!iI'e 952-001.
Secondary Constructiou Notilication cente~1 gjU~,c.R las tl'l
# of Bedrooms: . OAR 952-001-0 ~~~9 {U e
In YUma)' obt Dri8~lhe \elephO~ n1a
0090. 0 , , _~nt",r. "\1" '. .. ~.;fir.atiOf\
ca\\\Il~ .."- -~ . U\""U .
mber lr1~iVFlUo>:.,~.......~RMATION I
nu cen\~r ~ r !. ,
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
. Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Expiration Date
06/21/2007
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:
IPUBLIC IMPROVEMENTS I
NOTICE: EXPIRE IF THE wom~idewalk Type:
HIS PERMIT SHALL T
T , lIED UNDER "THIS PERMI"TIS NO DownspoutslDrains
~~;~~NCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street
Sturm Sewer Available:
Special Instruction:
Notes:
I Valuation D~scrintion I
Description
$ Per Sq Ft
or muItipHer
Square Footage
or Bid Amount
. Tvpe of Construction
1 of 2
Value
Date Calculated
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMITNO: COM2005-00761)
ISSUED: 07/06/2005
APPLIED: 06/21/2005
EXPIRES: 01/06/2006
VALUE:
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
7/6/05
7/6/05
7/6/05
7/6/05
7/6/05
Receipt Number
1200500000000000947
1200500000000000947
1200500000000000947
1200500000000000947
1200500000000000947
Total Amount
$62.65
I Plan Reviews I
SUB Review
06/21/2005
07/0112005
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover.
By sIgnature, I state and agree, that I have carefully examiped the completed application and do hereby certify thllt 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 structure without permission of the Community Services Division,
Bnilding Safety. I further certifY that only contractors and employees who are in compliance with ORS 701.005 will be nsed
on this project.
I further agree to ensnre that all required inspections are requested at the proper time, that eacb address is readable from
the street, that t~:~~card is located at the front ofthe property, and the approved set of plans wiD remain on the site
~~ ctinn. :nAC V & O:s-
. /,., .
Owper or Contractors Signature Date
2 of 2
r
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
/
Job/Journal Number
COM2005-00766
COM2005-00766
. .
, COM2005-00766
COM2005-00766
COM2005-00766
Payments:
TWe of Payment
Check
',;
"
,
'3
7/6/2005
. ,
.
RECEIPT #:
iif-
ety of Springfield Official Receipt
eveIopment Services Department
Public Works Department
1200500000000000947
Date: 07/06/2005
8:1!19:I3AM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ANDYS HEATING AND AIR
CONDITIONING
Amoont Due
3.15
4.50
12.00
33.00
10.00
$62.65
Item Total: .
LDecK Numoer AutDonzallOD
Received By Batch Number Number How Received
djb 1007 In Person
Amount Paid
$62.65
Payment Total:
$62.65
I of I