HomeMy WebLinkAboutPermit Mechanical 2008-8-27
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01254
ISSUED: 08/27/2008
APPLIED: 08/20/2008
EXPIRES: 02/27/2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726"3753 Phone
54t,726-3676 Fax
541-726-3769 Inspection.Line
SITE ADDRESS: 1460 G ST
ASSESSOR'S PARCEL NO.: 1703362204601
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install new cooling unit in lab
Owner: MCKENZIE WILLAMETTE REGIONAL MEDICA
Address: PO BOX 190700
SAN FRANCISCO CA. 94119
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
FM SHEET METAL INC
License
89710
Expiration Date
03115/2009
Phone
541-726-3000
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
, # of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: .
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Cot Coverage:
Total: .
Handicapped:
Compact:
Street Improvements:
"!' -- ~
I PUBLIC IMPROVilviENlSli."!IUOI!!l~~vAi!i!;(;" UV~6~~0'!aJll"lj~~):>
. ~U04dalal . JaqlUnu
Aq salnJ~~fW~tf~i 'JalUao alll BUllleo
-Wo . 0 u!ejqo AUlU no" '0600
-;;S(j)W6Sl:IlhroiI?r~~'OO- WO-;;S6 u,",o
41JO) jes aJe salnJ esolj , "V uI
Aj'l!ln uoBalO all) Aq te)~ejueo uOljeolj!JON
01 naA S8JlnbeJ Mel UOBOJoOPeNsOalnJ MOllO)
, , IIN311'1
Storm Sewer Available:
Special h!t\]'W8'I!:
Notes: THIS PE'RMIT SHAll EXPIRE IF T
:\~THORIZEO UNDER THI~ pJ:DAn~E yv~~~
.""",d~i~L,tU OR IS AB - 1- ,.\.,
[, ~I'/ < co ANOONE1I' <OJ;!. .. I
,:!,; ;" DAY. PERIOD ValuatIOn DescrmtlOn
Description
Type of Construction
$ Per Sq Ft
or multiplier
. Square Foota'i~'
or Bid Amount
yalue
bat.e Calculated
Page 1 of2
_S~,~J!lI~fl~~!?-,
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 t -726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+12% State Surcharge
+ 5% Technology Fee
Heat Pump
MinimumlAdjustment Mechanical
Total Amount Paid
SUB Review
0812012008
Amount Paid
$21.00
$5.20
$6.24
$2.60
$15.00
$37.00
$87.04
Total Value of Project
~~e~P~i~ 1
Date Paid
8/27108
8/27/08
8/27108
8/27108
8/27108
8127/08
Plan Reviews I
APP DH
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01254
ISSUED: 08/27/2008
APPLIED: 08/20/2008
EXPIRES: 02/27/2009
VALUE:.
Receipt Numher
1200800000000000916
1200800000000000916
1200800000000000916
1200800000000000916
1200800000000000916
t200800000000000916
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.
Rough Mechanical: Prior to Cover
I R~(luired Ins.~ections ,I
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 Springlield 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 fnrther agree to ensure that all required inspections ~re requested at the proper time, that each address is readable from the
street, that the permit card is located at the froIlt of the property, and the approved set of plans will remain on the site at all
times during construction.
j1.1~ l~~'
Owner or Contractors Signature
Paee 2 or 2
S-Z7-o~'
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008~0 1254
COM2008-0 1254
COM2008-01254
COM2008-0 1254
COM2008-0 1254
COM2008-0 1254
Payments:
Type of Payment
CrcditCard
cReceintl '
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200800000000000916
Date: 08/27/2008
1:42:33PM
Description
Heat Pump
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
15.00
37.00
21.00
2.60
6.24
5.20
$87.04
Paid By
BRIAN CHEEVER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
nJm
028991 In Person
Payment Total:
$87.04
$87.04
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8/27/2008