HomeMy WebLinkAboutPermit Mechanical 2005-10-28
~il~
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01521
ISSUED: 10/28/2005
APPLIED: 10/27/2005
EXPIRES: 04/28/200"
VALUE: ...\n~
SITE ADDRESS: 999 S A ST
ASSESSOR'S PARCEL NO.: 1703354109200
Springfield TYPE OF
Heating System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install infrared tube beater
Owner: R-H MCKENZIE COMPANY LLC
Address:' PO BOX 2280
EUGENE OR 97402
'CONTRACTOR INFORMATION'
. ..,()?-'i-
Contractor ~ \~t.~' ()\ License
CO~MERC~~!~~a~~ \<;,\~ 110075
. ~\)'\~;~\, '0 ~\j't~ ~~))ORMATIONI
,~\~ 'f ~t't\) ~ \'3 I'l:Ir"
, #ofUnits: 'i-~'\~O~ ~C't~ O~ ~()fJ. # of Stories:
Primary Occupancy Gr~~~ Q~ it.~ Height of
Secondary Occupancy f>.\ii \~ Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Range Type:
# of Bedrooms: . Energy Patb:
Sprinkled
Contractor Type '
Mechanical
Expiration Date
12/18/2005
Phone
541-461-4821
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION ,
REQUIRED PARKING
Overlay Dist: , 'jOU \0 Total:
# Street Trees )tJ leC\UIles l' \)\ilito/Handicapped:
Paved Drive R:!~blegol' \a: \\'Ie Otego set \o'mmpact:
% ofLot~'v~~150?\ecl b'J luteS ale 95'2.-00'\-
/I.' I\... \,I\eS'" ,\'lOse Op..~ s b'j
.nIlO'i'l1 _ r.el'\et, . r .",O\,lg\'l ""e t\,lle _
IPUBLIC lMP~QV~NTSI' 'ill' CO?I~~~e \ele?l'~~\~(\
" '" I r . I~O\e, NO\I\ICV
II' - '/0\,1 \"~' l'tet. 'Sid@'liiitT e'
0090,. 9 \\'Ie ce OteguP '2.-'2.~~~.,
ca\\l~et \ot \\'Ie, '\ ,\Jl~poutslDrains
(\U('(\ Cel'\et IS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
: Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
e.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01521
ISSUED: 10/28/2005
APPLIED: 10/27/2005
EXPIRES: 04/28/2006
VALUE:
:
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - Unit Heater
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$4.00
$29.00
10/28/05
10/28/05
10/28/05
10128/05
10/28/05
10/28/05
Receipt Number
1200500000000001630
1200500000000001630
1200500000000001630
1200500000000001630
1200500000000001630
1200500000000001630
Total Amount
$62.65
Plan Reviews I
SUB Review
10/27/2005
10/28/2005
APP JF
assembly exempt as part of
industrial proccess
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 Reouired I nsnections I
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 ofthe property, and the approved set of plans win remain on the site
atall~L/structio~..A" /CJ~d /..,.. c----
_ ,/Y1 g1.J! ,., /' '-' )
Owner or Contractors Signature Date
2 of 2
1,25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~,~-:,--,I
~t) .
.....ity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
..
Job/Journal Number
COM2005-0152I
COM2005-0152I
COM2005-0 1521
COM2005-0 I 521
COM2005-0 I 521
C.OM2005-0 1521
Payments:
Type of Payment
CreditCard
'1
-\
')
10/28/2005
RECEIPT #:
1200500000000001630
Date: 10/28/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - Unit Heater
-Mechanical Issuance F ee-
Gas Outlets 1-4
Minimum! Adjustment Mechanical
Paid By
COMMERCIAL AIR INC
Item Total:
LnecK NWDDer AumonzatIOD
Received By Batch Number Number How Received
djb 028500 In Person
Payment Total:
I of I
. .......
9:37:36AM
Amou nt Due
3,15
4.50
12,00
10,00
4.00
29,00
$62.65
Amount Paid
$62,65
$62.65