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Home My WebLink AboutPermit Mechanical 2004-5-14 . . CITY OF SPRINtd<l~LD Building/Combination Permit PERMIT NO: COM2004-0058I 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: 1300 HAYDEN BRlDGE RD ASSESSOR'S PARCEL NO,: 1703252200800 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Commercial PROJECT DESCRlPTION: Kiln vent Owner: SCHOOL DISTRlCT #19 Address:, 525 MILL ST SPRlNGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor OWNER 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: nla I u"-t,,-u)PMENTINFORMATION I Frontyard 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 raw I PUBLIC IMPROVEMENTS I S I "'''~''",,-.,Aa.,'-d ftlqUI/8l,I ,uu 10 ' ~ Ik T treet t':I~,""'""'>S;l OPtedbylheOregonUtJlrty NOTI .ewa ype: NO!lfiC~on.gg,!'ltet Those t. Stor'"ir't'O'A ~lD01:OO roles are set forth ,THIS peV~DrP8M~ r' : speci~bWr'fc~iJ ~10 through OAR 952~01- AUTHORIZED UNOf.ItE ~~IRE IF THE WORK '. ou may obtain copies of the roles b R THIS PERMIT IS NOT Notes: calling the center. (Note: the telephone Y COMMENCED OR IS ABANDONED FOR number for the Oreoon Utilitv r.Jn';flM"__ ANY 180 OAY PERIOD. ...tlIll8f IS 1-sb0-332-2 - -. 344)'1 Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Page 1 of2 . t,' . . CITY 0.. ~rKll'\jlj..mLD Building/Combination Permit PERMIT NO: COM2004-0058I 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 I F pg;,j . f"~ 1oiiIiIloI Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00' $39.00 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 1200400000000000739 1200400000000000739 1200400000000000739 1200400000000000739 1200400000000000739 Total Amount Paid $62.65 I Plan Reviews I 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. I Rp'mJ r '''rd I n~nectinn~ I IIUll-lrlll I 1 Final Mechanical: When all mechanical work is complete. 2 Rough Mechanical: Prior to Cover 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 ofthe 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 ;:Jjconstruc~. . ..-- S- / Jc.J /,.., c/ s Signature Date Paee 2 of2 . ~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department 225 FiftII Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Nnmber COM2004-0058I COM2004-00581 COM2004-00581 COM2004-00581 COM2004-00581 Payments: Type of Payment Check 5/14/2004 RECEIPT #: 1200400000000000739 Date: 05/14/2004 Description + 7% State Surcharge + 10% Administrative Fee Appliance Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By SPFD SCHOOL DlST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 21916 In Person Payment Total: Page I of I 1:35:06PM Amount Due 3,15 4,50 6.00 39,00 10.00 $62.65 Amount Paid $62,65 $62.65