HomeMy WebLinkAboutPermit Mechanical 2008-9-12
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 fnspection Line
PERMIT NO: COM2008-01390
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/12/2009
VALUE:
Issued
SITE ADDRESS: 563 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Mechanical Only
I DEVELOPMENT INFORMATION I
I REQUIRED PARKING
'O-v~rlay ~ist: I Total:
# Street Trees Rqd: ~dicapped:
Paved Drive Rqd: _~~~~lpact:
% of Lot Coverage: ~~ ~"\ 'f\'; \'0 \\0
V"::. ~?~\\ ~
_..C, .~"',\. ,,')1:. ~ I." {oO
I PUBLIC 1~?~~#Jl..~~" ~'O~\\~\)~ ..-
\,\,. ,,/-,Le, "" \'0"
~\)\\,\\J\'\ ~C~~ vt' 1'\~walk Type:
C()\SI~~~ Q~ V'e Downspouts/Drains:
~\\~ ~ '
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PROJECT DESCRIPTION:
,
. I
Install type II hood with make np ai~
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I CONTRACTOR INFORMATION I
TYPE OF USE:
Owner:
Address:
CENTENNIAL SHOPpING CNTR LLC
331 FILBERT ST .
SAN FRANCISCO CA 94133
Contractor Type
Mechanical
Contractor
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, n/a
Front yard Sethack:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descri'otion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2(, I of 2
New
Commercial
Expiration Date
04/07/20 I 0
Phone
541-935-0461
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Value
Date Calculated
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
Amonnt Paid
Fcc Description
.....Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Exhanst Hoods
Minimum/Adjnstment Mechanical
Total Amonnt Paid
$21.00
$5,20
$6,24
$2,60
$11.00
$41.00
$87.04
Total Valne of Project
Fees Paid I
I Plan Reviews I
Date Paid
9/12108
9/12/08
9/12/08
9/12/08
9/12/08
9/12108
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01390
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/12/2009
VALUE:
Receipt Nllmber
2200800000000001378
2200800000000001378
2200800000000001378
2200800000000001378
2200800000000001378
2200800000000001378
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.
I Rellltirerllnsn~ctions I
Rongh Mechanical: Prior to Cover
Final Mechanical: \Vhen all mechanical work is complete.
By sigllatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certif)' that all)' and all wor'k performed shall be done in accordance with
the Ordillallces of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, alld
that NO OCCUPANCY will be made of allY strnctnre withont permission of the Commnnity Services Division, Bnilding Safety,
I fnrther certify that only contractors and employees who arc in eompliallce with ORS 701,005 will be nsed 011 this project.
I fnrther agree to ellsnre that all reqllired inspections are reqnested at the proper time, that each address is readable from the
street, that the permit card is located at the frollt of the prnperty, alld the approved set of pia liS will remaill 011 the sile at all
'times during construction.
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Pag'e 2 of 2
9-/2-6 ~
Dale
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springt1cfd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1390 '
COM2008-0 1390'
COM200S-01390
COM2008-0 1390
COM200S-0 1390
COM200S-0 1390
Payments:
Type of Payment
Check
cRcceinll
RECEIPT #:
Date: 09/12/2008
8:24:I3AM
2200800000000001378
Description
Exhaust Hoods
Minimum/Adjustment Mechanical
-Mechanicallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
11,00
41.00
21.00
2,60
6,24
5,20
$87.04
Paid By
MARICLE STAINLESS LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
Payment Total:
$S7.04
$87,04
4176
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