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Home My WebLink AboutPermit Mechanical 2007-10-1 . . ._'.i;.:;;....~ii.'..,.-'. .............~.;~....'..;,.i,.. u......, ".J --.". Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01482 ISSUED: 10/01/2007 APPLIED: 10/01/2007 EXPIRES: 04/01/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2669 S Cloverleaf Lp ASSESSOR'S PARCEL NO.: 1703224300800 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTH?N: Emergency Furnace Replacement Owner: CLOVERLEAF ASSISTED LIVING LLC Address: 184 E 11TH AVE STE 210 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor JET HEATING INC License 3944 BUILDING INFORMATION I Expiration Date 05/31/2008 Phone 503-363-2334 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Storm Sewer Available: Special Instruction: Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 SetbN 3TWE. Paved Drive Rqd: Rearyard ~ 1M' · % of Lot Coverage: Solar Setba~ ~~ ERMIT SHAll EXPIRE IF THE WORK A ITHnRI7J::D fiNDER 1~1~ PSRMIT ff m~T COMMENCED OR IS ABANDO~ IMPROVEMENTS I Street ImpMl~teQ.PAY PERIOD. Sidewalk Type: __~youto AI ,e,mON: O~rv-the'(1rwa~n Utility follow rules adopted tsy ~ rules are set torth Notification ~f:;1~:'ugh OAR 952-001- 'n OAR 952 btaln copies ot the rules by '\09n, You may 0 {N-.-' .h~I~Qhone CJt""~ ne CtJIIl"" o~ 'Utility Notification Valuation Descr' . ~..' or the\or1e~OO_332_2344). enter S -Q $ Per Sq Ft Square Footage or multiplier or Bid Amount Total: Handicapped: Compact: Notes: Description Type of Construction Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01482 ISSUED: 10/0112007 APPLIED: 10/0112007 EXPIRES: 04/0112008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Miscellaneous Mechanical Amount Paid Date Paid $20.00 $5.00 $2.50 $4.00 $50.00 10/1/07 10/1/07 10/1/07 10/1/07 10/1/07 Receipt Number 2200700000000001526 2200700000000001526 2200700000000001526 2200700000000001526 2200700000000001526 Total Amount Paid $81.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. L ReQuired InsDections , 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 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 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 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. Owner or Contractors Signature Date Pae;e 2 of 2 225 Fifth ~tteet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01482 CO M2007 -01482 COM2007-01482 COM2007-01482 COM2007-01482 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description ~Mechanical Issuance Fee~ Miscellaneous Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JET HEATING City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001526 Date: 10/01/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 003322 Phone Payment Total: Page 1 of 1 8:37:22AM Amount Due 20,00 50,00 2,50 4.00 5.00 $81.50 Amount Paid $81,50 $81.50 10/1/2007 .;;.t t OCT~01-20e7 09:06 .1. r., "-1.1.1 ,c.'-"." "."... - JET INDUSTRIES -Qi- - - P.OO~ \..llX" OF ~rNNGru.~D- , Building/Combination Permit }'ERMIT NO: C0M2007-0148Z ISSUED = 10/0111007 ,APPLIED: 10/01/2007 : EXPIRES: 0410112008 VALUE: Status J$SQed zu F'.nll S~ Springfield, OR 541-72.6-37" :nolle ~1.72f;.3616 F~ 541-'n6-3769ID~D Uu-= SITE ADDRESS: ' 266' S Cln'erI.fLp 4SS'ESSOR'SI'ARCEL NO.; 118322431)0100 Sp~~ ' 'TYPE OF WORK: MedallDical Q,1y typE Of USE: ~ddltiod COIIImetdal FRo..n;CT :D&S(:P.U' I "<?N: EmerpllCY I'a...a~ aeplacUIleat O'wGllr: CLOVERLEAIl' ASSIi:l...c..D LJVI1'iG UC Add",ll: 184E llTS AVE sn:210 . SFlUN.....r.l..ll....D OR '7417 I CONI'llACI'OR Il'(FORMA1'lO~ CoatrBdOr Type Contractor' Liclldse EuiratiOR Date PhOQC Mcda..ical JET BltA. 'fINe lNC 3~ 0513~OO' S03-3U-Z334 I B1..AuUlNG lNF'ukf~iA,uO~' \ 11 GfUpitl: PrilUl')' Occupucy Group: Secaad.a., OCCQplllCY Grasp: Pti......,. Co..sttuctiO" Type: SeaJad.". CvJQtndPJ1IlI1'ype: '# of l1edr'O'~: III of Stories: IIdg1at ~ Stnl...~..... ~. TJpe of Beat: Water Typo: RalJge Type: Eller;y Patb: 5pri1lkllllll :a.ildm~: LOt~l Sq Ft Illt Floor: ' Sq Ft Znd Floor: S, n BU~eIl~ Sq Ft GanaCrlCarpart 5q ". Odllll{: Oti:cap.at Lo~d: aI. I DltvELOPMENT INFO~TION , UQ1.JIUD PARKING TDtal: Hallldlcapped: Compact:' 51:111"1'4 ~ A'v1l0.ble: Spada' Iustnl:tWlIl: 0v0J1ay JJtst: #I Stt'eet TRft Rqd; CEo ' l'a"ed llriVe Rqd~ . " % of Lot Ceverage= ERMIT SHAll EXPIRE IF THE WORK .... , COMMENCED OR IS AB~POrlllllll[ tMnv. .r..~,ENTS I StreaUmp~g.PAY PERIOD. ' Skt~ Type: ~Ott~~~ fot\OIl'I ruteS edopt~ t;y ':1_ aru set tortn . Ho\lfication center. 11'1'- gt\ OAR 952-00'\- , In oM 952-001:"=_ of",G rutes b1 Ml:IR. "(00 may n, (f'eW' ~A ~ono ~~.~.,. NQIftiCGOO r Valu~ltion Des'''''''' \f\e.Ofeg~~, " . enter I' t~O "', SPill' Sq Fe 5,uare Footage or maltiplilr or ~id Amount Nota: ~, J)...... "II ~I' ,tiua TYD8 or CODSmll:l:ion Valse DlI~ C.I~lalted PlI!.Q 1 on. ,. OC~-Ol-2~07 09:07 JET INDUS 16/1:11/;.!t1r.1l ~{;Ll::J, Io/.U""."" TRIES P.003 St3tas Issued Z25 Fifth Street, SpriDgfieId, OR 541~12'H3?S3r'o.e 54J~n~76 f.x S41-72~7" t.Spedioll J:.,ba~ CITY OF 5PRulilbJ.1i.t1LD' , Building/Combination Permit PERMIT NO= C0M2007..o1~~ ISSUED: 10/0112007 , APPLIED: 1.0/0112007 : EN: U\.ES: 0410112008 , VALUE: lk- I Totsl Vahle of~jeet ~ Fee DClSCriPtioll -~h..iallDuIlDCC F~ + 1'''0 AdUliDistntlw Fee + S% Tedl.oIogy Fee + SOl. Stste S..rdlal'EB MiadaD~G! MecllaDicaI 520.00 S~.OO 51.S0 $4.00 SSO.OO DB~ 'lOll 1011107 1011107 1011/07 101llU7 t OnlO7 . Receipt Nqmber 2:0070000DDOOOO~5%6 22007000000000015Z6 Z~007UOOOOOOO'Ol5Z6 22D0100'08080001526 ~~0070'0'0noOOOl5Z' A~.....t raid Tot!.. Amo.at Paid $81.50 I Plan Reviews ~' To Request an iaspection csl] the Z4 ho.... recording:at 726-376'. All in,pections requested t.f.,,,~ 7;00 . 8.m.1'i1I" m2lcle the same workiug cby, iDspedioll$ req-.cswd afb:r 7:00 a.m. will be made tile fonowing I .,.,k day. . _: Ro... M..claallielll~ FriO,. CQ c.~ ~.I Medlau.1c:d: Wbera an medl..leal ....ork iJ complcft. By .t.re, I ,..tl! add ~ ~.t 11l1l'R QrdGIIy ., _" . .1n~ the compJete4 sppIkativa aD4 do Ill." "~.' c:ettify ~.t lIII iaf'vl1lUlUu.llereaD is tnll ..d ~ .Rell f'l1l'tlLa- ~l'1Ify tIIIat aay od an wo.-k plU'fonne4 ,Illld be done ~ atcOri..~ wid! tlae ~hl.~.. oftlllc City ef Sprblpeld and the Laws uf!be 5ca~ oro . ....."', p;. ,.,.., hag tv the work ducribed berein, sDd tl&at NO OCCUPANCY will be IPdll of aliy ,trocblte .n*o..t pmniuiua of die CI)GlftUIII~ ~d !)MriO~ Baitdu.l!: Sa~. I r..rtIl~r a!I'tify aat "nr,y coutnldOl"!I aDd emplUYoes"",o are In cOQlplb.~ witta OR! 7OJ.0fJ5 will b~ IIsed OR this JKOj~ I farther ~ to onsure dlat all teq1lired m'P.doa, are J'e4llCosted it Ille P"per dme, tIlat each aMras b ra4lltt-= ft'Olln tbe .,~, "'.... tbat tb~ pendt an i8 IoCllced at tbe (.......t of the property, lIad tile llPl' . , , ,J set of plall:ll wOI ~..la.,a die. at aD tIm~ durilll: c:onstnctioa. ., - \{hsr:- q,..... ..e..........~ lOp 1-01 Da" F.~2.n ' TOTAL P.003