HomeMy WebLinkAboutPermit Mechanical 2008-11-10
CITY VI' ~rRlN(J.I<l.l<.;LD
Building/Combination Permit
PERMIT NO: COM2008-0I588
ISSUED: 11/10/2008
APPLIED: 10/28/2008
EXPIRES: 05/10/2009
VALUE:
Status
Iss u ed
225 Fifth Streei, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 800 S 18TH ST,
ASSESSOR'S PARCEL NO.: 1803010001100
Springlield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Heat pump and air handler
TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION I
Contractor' ATTENTION: Oregon law reql!JicenseJ to Expiration Date
MARSHALLS 1~~~~~o;;:I:~~~?Fe,~ by theC25~90; Utility 12/23/2009 .
, ,_.. ''''N~ ""-''"''~ 'el rorm
rn LJ{\tB1JJIW~(!)aNF~~MA:TWNJ52'OOl_
009J" >c'U ""'y amain copies 01 the rules by
callrng tli%JCSf'dtll\s:(Note: the telephone
number fAe~ IilrS{lQICfilNity NOllllcation
ClflYl% d' Jt&00-332-2344).
Water Type:
. ,Range Type:
Energy, Path:
Sprinkled Building:
Owner: MORSE BROS INC
Address: 32260 OLD HWY 34
TANGENT OR 97389
Contractor Type '
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I ,DEVELOPMENT INFORMATION I
"!nTIC'" '
1\:_- 1:.
THIS PER~~;~U{CC~~~\RE IF THE WORK
!\UTHORfZp.u.Jd~b'}m Rijlf.l PERMIT IS NOT
COMMEN(jJ;;;[of1l.lQ~~<iY!Jfi(grlONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer A ".ilable: - ,
Special Instruction:
I PUBLIC IMPROVEMENTS'
. ....... -'P'_,
Phone
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
--""
.-
Sidewalk Type:
Downspouts/Drains:
Notes:
- .
-"..........
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page I of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01588
ISSUED: 11/10/2008
APPLIED: 10/28/2008
EXPIRES: 05/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanicallssnance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit'Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
11110/08
11/10/08
11110/08
11110/08
11/10/08
11110/08
11110/08
1200800000000001124
1200800000000001124
1200800000000001124
1200800000000001124
1200800000000001124
1200800000000001124
1200800000000001124
Total Amount Paid
$87.04
Plan Reviews I
SUB Review
10128/2008
10/3112008
AP~ JF
Pass energy review - HV AC only.
No inspections to be conducted. See
attached documents for energy
review approval.
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 ' Reouired 1 nsnections I
Rough Mechanical: Prior to Cover
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 Springfield and the Laws of the State of Oregon pertaining to,thework 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
timesdUring~~_
~___ - '" If/(%<(-
~ 1_'. /
Owner or Contractors Signature Date
L.-
/~
Page 20f2
225 Fifth Street
Springfield,.Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1588
COM2008-0 1588
COM2008-0 1588
COM2008-0 1588
COM2008-01588
COM2008_0 1588
COM2008-0 1588
Payments:
Type .of Payment
Check
Cash
Change
Job/Journal Number
COM2008-0 1588
COM2008-0 1588
COM2008-01588
COM2008-0 1588
COM2008-0 1588
COM2008-01588
COM2008-01588
Payments:
Type of Pay-ment
Check
Cash
Change
Job/Journal Number
COM2008-0 1588
COM2008~0 1588
COM2008-01588
COM2008-0 1588
COM2008'0 1588
COM2008-0 1588
COM2008-0 1588
Payments:
Type of Payment
Check
Cash
Change
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001124
Date: 11/10/2008
Description
Heat Pump
Air Handling Unit .Up to 10,000
.Minimum/Adjustment Mechanical
~t:A"echanical Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MARS HALLS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc ,20473 In Person
In Person
In Person
Payment Total:
Description
. Heat Pump
Air Handling Unit Up to 10,000.
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MARS HALLS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cJC
20473
In Person
In Person
In Person
Payment Total:
Description
Heat Pump
Air Handling Unit Up to 10.000
M inimum/ Adj ustmentMechanical
~Mechanicallssuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MARS HALLS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJc
20473
In Person
In Person
In Person
Payment Total:
Page 1 of 1
2:17:02PM
Amount Due
15,00
10.00
21.00
21.00
2,60
6.24
5.20
$87.04
Amount Paid
$84.07
$3.00
($0.03)
$87.04
Amount Due
15,00
10.00
27,00
21.00
2,60
6.24
5.20
$87.04
Amount Paid
$84.07
$3.00
($0.03)
$87.U4
Amount Due
15.00
10,00
27.00
21.00
2.60
6.24
5,20
$87.U4
Amount Paid
$84,07
$3.00
($0.03)
$87.04
II! I 0/2008