HomeMy WebLinkAboutPermit Mechanical 2005-6-2
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00652
ISSUED: 06/02/2005
APPLIED: 06/01/2005
EXPIRES' 12102/2005
VALUE.
SITE ADDRESS 1701 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703253404502
Sprmgfield TYPE OF WORK. Heatmg System
TYPE OF USE' Repair
Commercial
, PROJECT DESCRIPTION Replace heat pump
Owner ORDER OF ELKS LODGE #2145
Address 1701 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Contractor License
MARSHAJ...LMrlIfin~1 n,..nnn 1000W rFl<Juires vWWl
follow rulas BUwm?:CM~roRMi\'fiYi4""
NotificatIOn ,-,emer. I Hu~..I{,rY" 'a,\! .!J( IJrth
in OAR 952-001-11lilfStWliltlgh OAR 952-001-
0090. You may dI:lll!lhtcll1iJSmllflblJae rules by
calling the ceifulpe (Il1~tlhe telephone
number for the'bt~CJiYP.mhty Notllicatlon
Center fl."1'JOO~2-2344).
Energy Path
Sprmkled Buddmg
Contractor Type
Mechamcal
# ofUmts
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIon Type
" Secondary ConstructIon Type
# of Bedrooms
Frontyard Sethack
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Street Impruvements
Storm Sewer AvaIlable
Special InstructIon
Notes
I CONTRACTOR INFORMATION I
Expiration Date
12/23/2005
Phone
541-747-7445
n/a
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total
HandIcapped
Compact
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
N OTH~UBLIC IMPROVEMENTS I
THIS PtHMl1 ~HALL tM'IKt I~ I HE Wrslli~walk Type
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR DownspoutslDrams
ANY 180 DAY PERIOD
I Valuahon Descrmhon I
$ Per Sq Ft
or multIpher
Square Footage
or BId Amount
Description
Tvpe of ConstructIon
Value
Date Calculated
Pa2e 1 012
-~~
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00652
ISSUED: 06/02/2005
APPLIED: 06/0112005
EXPIRES: 12/02/2005
VALUE'
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectIon Lme
Total Value of ProJect
Fees Paul'
Fee DescriptIon
-Mechamcallssuance Fee-
+ 10% AdmmlstratIve Fee
+ 7% State Surcharge
Heat Pump
Mlmmum/AdJustment Mechamcal
Amount PaId
Date PaId
ReceIpt Number
$1000
$450
$315
$12 00
$33 00
6/2105
6/2105
6/2105
6/2/05
6/2/05
1200500000000000730
1200500000000000730
1200500000000000730
1200500000000000730
1200500000000000730
Total Amount PaId
$62 65
I Plan RevIews I
To Request an mspection call the 24 hour recording at 726-3769. AllmspectIon requested before 7.00 a.m.
Will be made the same working day, mspectIons requested after 7:00 a.m. will be made the followmg work
day.
I Reouired Insnechons ,
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
informatIon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done m accordance wIth
the Ordmances ofthe CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY WIll be made of any structure wIthout permIssIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 WIll be used on thIS proJect
I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readahle from the
street, that the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the site at all
tImes durmg constr'lctlOn
~~~ 1(()LL_ /(J/?/OS-
Owner or Contracturs SIgnature
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~
City of Springfield OffiCIal Receipt
~velopment Services Department
PublIc Works Department
Job/Journal Number
COM2005-00652
COM2005-00652
COM2005-00652
COM2005-00652
COM2005.00652
Payments
Type of Payment
Check
612/2005
RECEIPT #:
1200500000000000730
Date: 06/02/2005
DeSCription
+ 7% State Surcharge
+ 10% AdtmmstratJve Fee
Heat Pump
MlDlmmn/ Adjustment Mechamcal
~Mechamca1 Issuance Fee-
PaId By
MARS HALLS INC
Item Total
Check Number Authorization
Received By Batch Number Number How Received
DJB 18635 In Person
Payment Total
Page 1 of!
1 26 44PM
Amount Due
3 15
450
1200
3300
1000
$62 65
Amount Paid
$62 65
$62 65