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Home My WebLink AboutPermit Mechanical 2004-5-14 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00582 ISSUED: 05/14/2004 APPLIED: 05/14/2004 EXPIRES: 11/14/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3680 JASPER RD ASSESSOR'S PARCEL NO.: 1802061202700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Kiln vent Owner: SCHOOL DIST #19 Address: 525 MILL ST SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor OWNER I CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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 , DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregon law '<rPf1B~I<;".r~ROVEMENTS I follow rules adopted by the 0 -.. -- ! Street Improf:f&IYllMiion Center. Those Nles are set forth Sidewalk Type: Storm Sewerlr\.~1l52-o01'()()10throughOAR952-OO1.. NOT/CE' DownspoutslDrains: Speciallnstr~Di You may obtain caples of the Nles by . calling the centel'. (Note: the telephone THIS PERMIT SHALL EXPIRE' Notes: number for the Oregon Utility Notlllcatlon AUTHORIZED UNDER THIS PE~J~E WORK ('Ant... I.. 1.floo..332..2344~ COMMENf.Fn no Ie' ~f:" '';l _.. IS NOT ~O DAY P .. 1(....,""1;1/ tUH I Valuation DescriDtion I ERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage . or Bid Amount Value Date Calculated Total Value of Project Pal!e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Minimum/Adjustment Mechanical Total Amount Paid . I Fp-p-s Paid I Amount Paid $10.00 $4.50 $3.15 $6.00 $39.00 $62.65 I Plan Reviews I Date Paid 5114/04 5114/04 5114/04 5/14/04 5114/04 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00582 ISSUED: 05/14/2004 APPLIED: 05/14/2004 EXPIRES: 11114/2004 VALUE: Receipt Number 1200400000000000738 1200400000000000738 1200400000000000738 1200400000000000738 1200400000000000738 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. , R"i'" "rp-d {"srlp-dinns I 11111ir.r Iff, I Rough Mechanical: Prior to Cover 2 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. ~~--'-U--- Signature Paee 2 of2 .s- / /cJ 10<1 Date 225 Fifth Street Springfield, Oregon 97477 54}..c726-3759 Phone . ar~'7.-:a~~~~, -_..~- I... 1Irr. , . ..... ! ~ of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000000738 Date: 05/14/2004 1:34:13PM Job/Journal Number COM2004-00582 COM2004-00582 COM2004-00582 COM2004-00582 COM2004-00582 DescriptioQ + 7% State Surcharge + 10% Administrative Fee Appliance Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Check SPFD SCHOOL DIST 19 Item Total: (;heck Number Authorization Received By Batch Number Number How Received djb 21916 In Person Payment Total: Amount Due 3.15 4.50 6.00 39.00 10.00 $62.65 Amount Paid $62.65 $62.65 5/14/2004 Page I of I