HomeMy WebLinkAboutPermit Mechanical 2008-11-24
Status
Issued
CITY OF SPRINGFIELD.
Building/Com binationPermit
PERMIT NO: COM2008-01587
ISSUED: 11/24/2008
APPLIED: 10/28/2008
EXPIRES: OS/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS, 3804 Kathryn Ave
ASSESSOR'S PARCEL NO.,. 1702304306800
Springfield TYPE OF WORK, Heating System
TYPE OF USE, New
Commercial
PROJECT DESCRIPTION, Install unit heater
Owner, MTN INVESTMENTS LLC
Address, 59 E 14TH AVE
EUGENE OR 97401.
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units,
Primary Occupancy Group,
Secondary Occupancy Group,
Primary Construction Type
Secondary Construction Type:
# of Bedrooms,
# of Stories,
Height of Strncture
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,
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist, . Total,.
# Street Trees Rqd: Handicapped,
Paved Drive Rqd, Compact'
% of Lot Cove'ragfJNTION. 0
follow r I . regon law re .
Mnfi"__.u es adOoter; h" .c. 2U1res You In
. I PUBLIC IMPROrBMElNi~";O~I~~~i ;hose r~/;;; ~~~~eY;iliIY
. "-v: IUU m throunh OAR 0, th
Street Improvements, caJlin th ay O{Side,":.aJki!yl!e, 952.001.
. ~lnTlCE' 9 e cen!f'J. 1~lnl~.v.~ or t1~e rutes .
Storm Sewer Avallabl\!': . nUmber for the ~uownspoutslD<ams'JO oy
Speciallnstruction:THIS PERMIT SHALL EXPIRE IF THE WORK Center islJ;~ioon U~ility NOlih~"t~e .
AUTHORIZED UNDER THIS PERMIT IS NOT 0-3322344). -. on
Notes, COMMENCED OR IS ABANDONED FOR
li~IY .1 nn n~v peRin"
Front yard Setback,
Side I Setback,
Side 2 Setback,
Rearyard Sctback:
Solar Setbacks,
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
SquareFootage
or Bid Amount
Value
Date Calculated
Page I of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01587
ISSUED: 11/24/2008
APPLIED: 10/28/2008
EXPIRES: OS/24/2009
VALUE:
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P".id ,
Fee Description
-Mechanical Issuance Fee-.
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - U nit Heater
Cas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$15.00
$6.00
$31.00
II/24/08
II/24/08
II/24/08
. II/24/08
II/24/08
11124/08
It/24/08
2200800000000001676
2200800000000001676
2200800000000001676
2200800000000001676
2200800000000001676
2200800000000001676
2200800000000001676
Total Amount Paid
$87.04
Plan Reviews I
SUB Review
10/28/2008
II/17/2008
APP DH
To Request an inspection call the 24 hour recordingat 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.
Reollired Insnections ,.
Rough Cas, After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical, When all mechanical work is completc.
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 oflhe Stale of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncture withont permission of the Commnnity 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
times during construction._, ~
/f'" ..(/ //' .. ~
~~r;-~-?,/L- . Ij-J-Vo 6. ..
Owner or Contractors Signature
Date
,
Paee 2 of2
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1587
COM2008-01587
COM2008-01587
COM2008-0 1587
COM2008-0 1587
COM2008-0 1587
COM2008-01587
Payments,
Type of Payment
Check
cReceint 1
RECEIPT #:
2200800000000001676
lO,3S,OOAM
Date: 11/24/2008
Description
Furnace - Unit Heater
Gas Outlets 1-4
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
15.00
6.00
31.00
21.00
2.60
6.24
5.20
$87.04
Paid By
MARSHALLS INC.
Item Total,
t:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
20486
In Person
Payment Total,
$87.04
. $87.04
Page I of 1
11/24/2008