HomeMy WebLinkAboutPermit Mechanical 2007-12-7
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01753
ISSUED: 12/07/2007
APPLIED: 11/3012007
EXPIRES: 06/0712008
VALUE: $ 1,200.00
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1890 42ND ST
ASSESSOR'S PARCEL NO.: 1702300001913
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Diesel particulate filter cleaner and thermal generator
Commercial
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA T10N ,
Contractor Type
Mechanical
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occnpancy Group: f~'~
Primary Construction T)'.Jl$ :TlON: Olegon \a~h~\ll!lcry~\~~"
Secondary constructiod"rt~i-u,es adopted bVse f&l!8glfEl1~~01.
# of Bedrooms: to\l~ tion centef. i~~foudWe&~P: :Ii \:IV
Mottlea 52_001-0010 i~dblbM aftliing:
""9jlJ\.9 ..,^h\alnCOPJ,._...\I'P_ \)
OO:li~~\h~-Cent~~'r~~ORMATlON ,
bettof the ;; , :tt..\ "
"urn n\8f 18 1...
ce Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
, Side_ Type:
,,,t \~1\\~~~~utS/Drains:
~01\C~:. ~\i $~f>.\..\.. ~\S \'~,,~~ f~"
,\'I\S \'~~ ttl U~U~" B""~UO~~
h\ \~~~~~;t:n ~~~1\~.
l~aJma~~ll1escriDtion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of3
-~4ii
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01753
ISSUED: 12/07/2007
APPLIED: 11/3012007
EXPIRES: 06/0712008
VALUE: $ 1,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
1,200.00
$1,200.00
$1,200.00
12/05/2007
Total Value of Project
Fpp< P~irl I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Vent
Building Permit
Minimum/Adjustment Mechanical
Plan Review Comm/lnd/Public
Amount Paid
Date Paid
Receipt Number
$10.00
$5.00
$8.00
$7.00
$50.00
$43.00
$32.50
12/7/07
12/7/07
12/7/07
12/7/07
12/7/07
12/7/07
12/7/07
1200700000000001472
1200700000000001472
1200700000000001472
1200700000000001472
1200700000000001472
1200700000000001472
1200700000000001472
Total Amount Paid
$155.50
I Plan Reviews I
Strnctural Review
12/05/2007
12/05/2007
APP DLM
Special inspection reqnired for
epoxy anchors (per engineer).
Owner to hire an approved special
ispector; all inspection report(s) to
be suhmitted to the engineer of
record, the owner and the city
building official.
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..U.auirr,1".lnc;:,nections I
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection resufts to City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Final Mechanical: When all mechanical work is complete.
Pa2e 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: COM2007-01753
ISSUED: 12/07/2007
APPLIED: 1113012007
EXPIRES: 06/07/2008
VALUE: $ 1,200.00
By signatnre, I state and agree, that I have carefully examined the completed application and do bereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance witb
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I forther certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project.
I further agree to ensure tbat 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 properry, and the approved set of plans will remain on the site at all
times during construction.
G..-t~.-
Pa2e 3 of3
t;/7 ~1
Date ( {5
225 Fifth- Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01753
COM2007-0 1753
COM2007-01753
COM2007-0] 753
COM2007-0] 753
COM2007-0] 753
COM2007-0] 753
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 12/07/2007
1200700000000001472
Description
Building Permit
Appliance Vent
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Comm/lnd/Public
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
SPFO PUBLIC SCHOOLS OIST djb 60715 In Person
19
Payment Total:
Page] of 1
10:20:46AM
Amollnt Due
50,00
7,00
43,00
5,00
8,00
10,00
32,50
$]55.50
Amount Paid
$15550
$155.50
12/7/2007