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Home My WebLink AboutPermit Mechanical 2008-12-8 Status Issued Ltl t OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01748 ISSUED: 12/08/2008 APPLIED: 12/0812008 EXPIRES: 06/1212009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 123 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154001100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Boiler Replacement Owner: PEACE HEALTH Address: 123 INTERNATIONAL WAY SPRINGFIELD OR 97477 Phone Number: 541-501-8626 Contractor Type Electrical Mechanical ,-CONTRACTOR INFORMATION I fOl/ow; 'i~I" uregon law r ' contractor. NotifiCaJi.~~S ado.Pted by thelmtsl!OU tcJ:xpiration Date OREGON ELECl'~~~~5~l(Jerr/Dt(;~,lI;1 Cfgon Utility 07/01/2010 EMK MECHANl(OAlI1. YOII ;""l:~~010 through ,~~ettorth 08/23/2009 nJ~11I'llIi71~-~F0~~~~ r~~;b; . '" "'~ uregoh Utilit - );I~Phone qpfil!~dii~s800-332_la NotifIcation Height of Structure 44). Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 503-234-9900, I 541-683-3715 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: N l DEVELOPMENT INFORMATION I ul.",!:;. ' THIS PERMlJ, CLUJ.....In1n AUTHORIZEID vOI1I1'YUJLI'I!M"IRE IF THE WORt( COMMENCOO~a:~q~~tRM'T IS NOT ANY 180 DA'fPERl'6~ove~P'NED FOR . REQUIRED PARKING Toial: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pae;e I 013 Status Issued. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Descriotion . . Tvpe,of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Total Value of Project L.Fp~. P~iriJ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01748 ISSUED:' 12/08/2008 APPLIED: 12/08/2008 EXPIRES: 06/12/2009 VALUE: Value Date Calculated Fee Description Amount Paid Date Paid Receipt Number, + 10% Administrative Fee $8.00 12/8/08 2200800000000001719 + 12% State Surcharge $9.60 12/8/08 2200800000000001719 + 5% Technology Fee $4.00 12/8/08 2200800000000001719 Add, Alter, Extend Circ $50,00 12/8/08 2200800000000001719 Add, Alter, Extend Circ Ea Add $30.00 12/8/08 2200800000000001719 -Mech Iss 2+ Appliances- $42,00 12/19/08 2200800000000001760 + 10% Administrative Fee $25.80 12/19/08 2200800000000001760 + 12% State Surcharge $30.96 12/19/08 2200800000000001760 + 5% Technology Fee $12.90 12/19/08 2200800000000001760 Boiler/Comm Over 50 UP $258,00 12/19/08 2200800000000001760 Total Amount Paid $471.26 I Plan Reviews I SUB Review 12/08/2008 APP JF 12/12/2008 See attached documents for 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. L-~I~r'lfrlt:\Unsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Per.mit PERMIT NO: COM2008-01748 ISSUED: 12/08/2008 APPLIED: 12/08/2008 EXPIRES: 06/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the, completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws ofthe Stat~ of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made orany structure without permission ofthe 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 'the front of the property, and the approved set of plans will remain on the site at all timesdnringconsta /2 -/<7-CJ8 Owner or Contractors Signatn~ -> Date Page 3 of 3 225 Fifth Street T ., Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01748 COM2008-01748 COM2008-01748 COM2008-0 1748 COM2008-01748 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Description . Boiler/Comm Over 50 HP + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee -Mech Iss 2+ Appliances- Paid By BRYAN MCBRIDE City of Springfield Official Receipt Development Services J;)epartment . Public Works Department 2200800000000001760 Date: 12/19/2008 Item Total: Checl{ Number Authorization Received By Batch Number Number How Received djb 050450 In Person Payment Total: Page ] of I 9:09:09AM Amount Due 258.00 12.90 30.96 25.80 42.00 $369.66 Amount Paid $369.66 $369.66 12/19/2008