HomeMy WebLinkAboutPermit Mechanical 2008-11-24
..
Status
Issued
CITY OJ' 1'l1'JllNGFlELD I
Building/Combination Permit
PERMIT NO: COM2008-01695
ISSUED: 11/24/2008
APPLIED: 11/21/2008
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, 2705 PHEASANT BLVD
ASSESSOR'S PARCEL NO., 1703220002707
Springfield TYPE OF WORK, Mechanical Only
TYPE OF USE, Alteration
Pnblic
PROJECT DESCRIPTION, Install exhanst extraction system
Owner, CITY OF SPRINGFIELD
Address, CITY HALL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA~ION I
Contractor Type
Mechanical
Contractor
HARVEY & PRICE CO
License
77
Expiration Date
10/31/2010
Phone
541-746-1621
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp,
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type,
# of Bedrooms,
Vlhr
# of Stories,
Height of Structure
Type of Heat:
Water Type,
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size,
Sq Ft 1 si Floor,
Sq Ft 2nd Floor,
Sq Ft Basement'
Sq Ft Garage/Carport
Sq Ft Other,
Occupant Load,
n/a
, DEVELOPMENT INFORMA~ION I
REQUIRED PARKING
Frontyard Sethack:
Side I Setback,
Side 2 Setback,
Rearyard Sethack:
Solar Setbacks,
Overlay Dist, Total:
# Street Trees Rqd, Handicapped~o
'a\N rI-'LjUII'-'''' J
Paved Drivc Rqd, ATTENTION: Oregon I V tl,~'0n:'pllEt' Utility
% of Lot Coverage:jo\lOW rules adopted b '<0' rules are setlorth
Notili~.~~~ ~;~:~~16~~;;'!gh rj!,~ ?S.~~~o~~
I PUBLIC IMPROVEMENf!iS;i,'.' .y;u may obtam(~~i~~~h~' t~i~phone
\Iing~he center. rl' . NotiticatlOn
Street Improvuments"E" ca b' idetyaII(Jfcype:~ UIII,">, 44)
I~U 111.1 . . num el v, ..-. 1_800-332-23 .
Storm Sewer A""W,w!IjI<fiRMIT SHALL EXPIRE IF THE WORK . fioWrtlpll'utsIDrains,
SpeciaIInstruc~e'1'HOR1ZED UNDER THIS PERMIT IS NOT .
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
Notes,
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amonnt
Value
Date Calcnlated
Pa!!e I of 2
Status
Issued
CITY OF SPRI1"\Jl'1ELD
Building/Combination Permit
PERMIT NO: COM2008-01695
ISSUED: 11124/2008
APPLIED: 11/21/2008
EXPIRES: OS/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-37691nspection Line
.Total Valne of Project
Fees Pliid I
, ,
Fee Description
-Mechanicallssnance Fee-
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Miscellaneous Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$52.00
11/24/08
11/24/08
11/24/08
11/24/08
11/24/08
1200800000000001171
1200800000000001171
1200800000000001171
1200800000000001171
1200800000000001171
Total Amount Paid
$87.04
I Plan Reviews'
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. .
R~(J~]ired In.snectin~~ I
Final Mechanical, When all mechanical work is compiete.
Rough Mechanical, Prior to Cover
By signature, I state and agree, that Ihave carefully examined the completed application and do hereby certify that all
information hereon is true aud 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 the work described herein, and
that NO OCCUPANCY will be made of any structnre withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ur that a e uired inspections are' requested at the proper time, that each address is readable from the
street, that the rmJcard'. oca d at the front of the property, and the approved set of plans will remain on the site at all
times during Ollst -ucfioo
')
/
//~Z~oy
Owner or
Date
Pa2e 2 01"2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008'0 1695
COM2008'0 1695
COM?008-0 1695
. COM2008-0 1695
.COM2008-0 1695
COM2008-0 1696
COM2008-0 1696
COM2008-0 1696
COM2008-0 1696
COM2008-01696
Payments,
Type oT Payment
Check
cReceintl
RECEIPT #:
Description
-Mechanical Issuance Fee-.
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Miscellaneous Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Miscellaneous Mechanical
-Mechanical Issuance Fee-
Paid By
HARVEY & PRICE
1200800000000001]71
Check Number
Received By , Batch Number
njm
Page 1 of I"
019232
City of Springfield Official Receipt
Development"Services Department
Public Works Department
Date: 11/24/2008
11 ,20,02AM
Item Total,
Authorization
Number How Receiyed
Amount Due
21.00
2.60
6.24
5.20
52.00
2.60
6.24
.5.20
52.00
21.00
$174.08
Amount Paid
. In Peison
Payment Total,
$174.08
$174.U8
] ] /24/2008