HomeMy WebLinkAboutPermit Miscellaneous 2005-10-12
.
.- CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01357
ISSUED: 10/12/2005
APPLIED: 10/04/2005
EXPIRES: 04/12/2006
VALUE:
; Status: Issued
225 Fiftb Street, Springfield, OR
'541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1940 DON ST STE 100
ASSESSOR'S PARCEL NO.: 1703270000903
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Change out unit heater
Owner: GREGORY STRAUSBAUGH
Address: 3642 RIVER POINTE DR
EUGENE OR 97408
Phone Number: 541-344-2428
I CONTRACTOR INFORMATION I
Contractor Type
. Mechanical
Contractor
COMFORT FLOW
License
460
Expiration Date
06/27/2007
Phone
541-726-0100
. le<I,\BUlUDlNGIINFORMATIONI
<;\00 \a'oll O<e'dv' cp.\ \01'"
# of Units: ~-< :<i\O~" Ol\eo \)'1 \~~\}\es alf~f?Jo!ies:
Primary Occup:jDcyl"G}oup: aOO? \~ose \\ OPHeight,ofO'1
Secoudary OccupJili1:Y ;~;0ce0\eIO\O \tlIO\}~S 0\ 'fyp~~!.#eat:
P"rimary ConstlluctioiicTYl!e_oO\-O \~'I^ CO?I \"eWater :f-ype:
,........ (') 'j:>'"" \);\.v\' . ."...flC'.......
Secondary Cons\fl'!;tion \} l0a'1 0 I ~~o\e. '\\\'1~nge Type:
# of Bedrooms: 0090,",,0 \tle ce0\~;e900 \j\I2._",l!inergy Path:
call109 \01 \tle. _'DOO-':>':> Spriukled
._hP.{ ." ,e::.. '\
\\V' (,je\'''-
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
, Froutyard Setback:
, Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS I
Sidewalk T~
~01\Cl: S\-I~\.\. ~'1.PI\:l.9>\f~~t~~ains
1\-1\S !OE~~{~ U~OEP. :~~~~6N~O fOR
~U1 D H) QR IS ""
r~~r~:~~p" p~R\OO.
I Valuation Descriotion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated .
I of 2
.
. CITY OF SPRINGFIELD,
Building/Combination Permit
PERMIT NO: COM2005-01357
ISSUED: 10/12/2005
APPLIED: 10/04/2005
EXPIRES: 04/12/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
L.Fees P,llid I
Fee Description
-Mechanicallssuance Fee-
+ 10% Administrative Fee '
+ 7% State Surcharge
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
10/12/05
10/12105
10/12/05
10/12105
10/12/05
Receipt Number
1200500000000001509
1200500000000001509
1200500000000001509
1200500000000001509
1200500000000001509
Total Amount
$62.65
I Plan Reviews ,
To Request an inspection caD 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. wiD be made the following
work day.
Rough Mechaulcal: Prior to Cover
Final Mechanical: Wben 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 Ordinances of the City of Springfield and tbe 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,
Building Safety. I further certify that only contractors and employees wbo are tn compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that all reqnlred inspections are requested at the proper time, that each address is readable from
the street, that tbe permit card Is located at the front of the property, and the approved set of plans wID remain on the site
at all times duri~g co~t"ction.
<.::... ~. fr"~, 1"0/"7//' 'i-:
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Spri~gfield\ Oregon 97477
541-726-3759 Phone
.
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~.~.}.
...,. .'
~-~...... ~
Jility of Springfield Official Receipt .
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1357
COM2005-0 1357
COM2005-0 1357
COM2005-0 1357
COM2005-01357
Payments:
Type of Paymeot
Check
~
.:..
..
'-
10/1212005
RECEIPT #:
1200500000000001509
Date: 10/12/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - Unit Heater
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING
Received By
djb
I of I
Item Total:
LnecK Number AulnOrization
Batch Number Number How Received'
31426 In Person
Payment Total:
IO:58:55AM
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid,
$62,65 .
$62.65