HomeMy WebLinkAboutPermit Mechanical 2007-11-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1701 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253404502
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01632
ISSUED: 11/02/2007
APPLIED: 11/0212007
EXPIRES: 05/09/2008
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Hook up electricity to roof HV AC system
Owner: ORDER OF ELKS LODGE #2145
Address: 1701 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
REYNOLDS ELECTRIC
MARSHALLS INC
License
17252
25790
Expiration Date . Phone
02/08/2009 541-343-7297
12/23/2009 541-747-7445
BUILDING INFORMATION I
# 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:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMA nON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm SewerAtViiNm0N: Oregon law requIres you to
Special Instb!~~'es adopted by the Oregon Utility
NotIfIcatIon Center. Those rules are set forth
Notes: In OAR 952-D01-0010through OAR 952-001-
0090.. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Page 1 of3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01632
ISSUED: 11/0212007
APPLIED: 11/02/2007
EXPIRES: 05/09/2008
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$5.20
$2.60
$4.16
$48.00
$4.00
$20.00
$5.00
$2.50
$4.00
$14.00
$36.00
11/2/07
11/2/07
11/2/07
11/2/07
11/2/07
11/20/07
11/20/07
11/20/07
11/20/07
11/20/07
11/20/07
3200700000000000728
3200700000000000728
3200700000000000728
3200700000000000728
3200700000000000728
2200700000000001726
2200700000000001726
2200700000000001726
2200700000000001726
2200700000000001726
2200700000000001726
$145.46
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.
~eouirecUnsDections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01632
ISSUED: 11/02/2007
APPLIED: 11/02/2007
EXPIRES: 05/09/2008
VALUE:
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
tim~~
O~ o;Contractors Signature
/lA-Cv,,~5 {tJ //~. ~ c
Pa2e 3 of 3
I (/~~ 7
t l
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01632
COM2007-01632
COM2007-01632
COM2007-01632
COM2007-01632
COM2007-01632
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARSHALLS INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001726
Date: 11/20/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 20033 In Person
Payment Total:
Page 1 of 1
1 :55:45PM
Amount Due
14.00
36.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/20/2007