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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~~!?-, ! 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 Page 1 of 1 8/27/2008