HomeMy WebLinkAboutPermit Mechanical 2008-4-10
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2008-00205
ISSUED: 04/1012008
APPLIED: 02/1112008
EXPIRES: 10/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 326 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: 1703263406200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
PROJECT DESCRIPTION: Hamlin Middle School- Heating system replacement
Public
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor, " .
TBD
License
ou\O
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I BUILDIN~P9.~~~t\O~\~..
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nu ~finkled Building
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handic~:
Paved Drive Rqd: 'f~\t)lr!,\~~
% of Lot Coverage: ~. ~~\~~,~ ~\\ \CO ~O
ttO.t\~t~M" CO~~~ \\\\CO~~~~O fO~
I PUBLIC IMPROVE~~lt.~U\}~~ \CO ~\)j.\\"\J
CQ~~t.~~~~\Qq..ype:
~~\{ ,\?>Q Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Appliance Vent
Furnace - Unit Heater
Total Amount Paid
Initial Review
Public Works Review
Plan nine: Review
SUB Review
Structural Review
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00205
ISSUED: 04/10/2008
APPLIED: 02/1112008
EXPIRES: 10/10/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$62,90 4/10/08 1200800000000000337
$75.48 4/10/08 1200800000000000337
$31.45 4/10/08 1200800000000000337
$160.00 4/10/08 1200800000000000337
$7.00 4/10/08 1200800000000000337
$462.00 4/10/08 1200800000000000337
$798,83
I Plan Reviews I
02/12/2008 02/12/2008 APP NJM
02/12/2008 02/12/2008 APP JHJ Attached SDC Worksheet. No New
SDC's, (JHJ)
02/12/2008 02/14/2008 APP EMM
02/12/2008 02/15/2008 APP JF
02/12/2008 02/1912008 APP DJP
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.
~eouiredJnsoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Pae:e 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: COM2008-00205
ISSUED: 04/10/2008
APPLIED: 02/11/2008
EXPIRES: 10/10/2008
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
times during construction,
J
, ./ ~l 1 -P ! .
~rs Signature
Pae:e 3 of 3
~ /;1\/&
(' I
Date
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00205
COM2008-00205
COM2008-00205
COM2008-00205
COM2008-00205
COM2008-00205
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIon
Furnace - VUlt Heater
ApplIance Vent
ApplIance Not LIsted
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
SPFD SCHOOL DlST 19
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000337
Date: 04/10/2008
Item Total;
Check Number AuthorIzatIOn
ReceIved By Batch Number Number How Received
dJb
63834
In Person
Payment Total:
Page 1 of 1
2:04:58PM
Amount Due
462 00
700
16000
3145
7548
6290
$798,83
Amount PaId
$798 83
$798,83
4/1 0/2008