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Home My WebLink AboutPermit Mechanical 2009-1-12 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00015 ISSUED: 01112/2009 APPLIED: 0110512009 EXPIRES: 07/1212009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 444 B ST ASSESSOR'S PARCEL NO,: 1703352414400 Springfield TYPE OF WORK: Medical Office TYPE OF USE: Alteratioll Commercial PROJECT DESCRIPTION: Replace rooftop HV AC IIl1it Owner: COVH LLC Address: 444 B ST SPRINGFIELD OR 97477 Contractor Type Mechanical 1"\, Il:N lION: OrQ~n~ ,___ . foHow rules adc"h:CONIP(!:"I'qR }'NlflQRMA TION , NOliflcationCenter Th . ---~J" UlllIIY "It n4~(C1c . ose rules are s t f . 'Q'Ggtr J(~r001'~010 through OA8.\l1e orth LIcense TE~1L 'pr,.IfR\MEl~<ki\l"l'l'ili ,. ~C?Jf) number f~~ ;h~'o;k.ififiiDl\m'JNFooM1TION' Center is l'800-3;dJ I.J,I"LM,HA II Of sio{i~s: Height of Strllctllre Type of Heat: Water Type: Range Type: Energy Path: Sprillkled Building: Expiration Date Phone 541.345-3828 # of Units: Primary Occupancy Group: Secondary Occllpancy Grollp: Primary Construction Type Secondary Constructioll Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupallt Load: I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special IlIstruction: Overlay Dist:- # Street Trees Rqd: Paved Drive Rqd: NOTICE: % of Lot Coverage: Y~!?,~~':l..~/T SHAll EXPIRE IF TJiF wm:/If COMMj:;,~VA',V)'f~R~MIDi,ffi S NOT ANY' ~L\ ,..JJ,,~u rtR 180 DAY PERIOD. ' Sidewalk Type: DownspoutslDraills: Frolltyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation DescriDtion I Description Type of COllstruction $ Per Sq Ft or multiplier Square Footage or.Bid Al)1ount Value Date Calculated Page 1 of 2 Status Iss u ed U 1 Y OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00015 ISSUED: 01112/2009 APPLIED: 01105/2009 EXPIRES: 07/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Ist Appliance Boiler/Comp 3-15 UP Amount Paid Date Paid $12,96 $5.40 $79,00 $29.00 1/12109 1/12/09 1/12/09 1/12/09 Receipt Number 2200900000000000038 2200900000000000038 2200900000000000038 2200900000000000038 Total Amount Paid $126.36 I Plan Reviews , Structural Review SUB Review 01/05/2009 01/05/2009 01/09/2009 01/0912009 APP APP DLM JF Proposed unit complies with energy requirements. No energy inspections needed. 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 ~.eo,;,ire~ .I~~'le~t.io~~ I Final Mechanical: When all mechanical work is complete. Final Electric: When all electrical work is complete. Final Building: After all required inspections have been requested and approved and the building 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 the work described herein, and that NO OCCUPANCY will be made of any strncture 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 setofplans will remain on the site at all times during construction. .~p~~ ,/ Owner or Contractors Signature /- /2 - l' Date Paee 2 0{2 225 Fifth Street ~J __ Springfield, Oregon 97477 541~)l26-3759 Phone . RECEIPT #: Job/Journal Number COM2009-000 15 '\ COM2009-000 15 COM2009-000 15 C0M2009-000 15 Description 1st Appliance Boiler/Comp 3' 15 HP + 5% Technology Fee -i- 12% State Surcharge Payments: Type of Payment CreditCard Paid By RALPH WELCH tlGf\.E.LO en" Of :,\"~:~IJC. (}E?1. oE.lJt.LOP~'n1 S1RE.(T 11 2'2.'-' l't.l{), QR 911\ SPlnt\Cf, 1'2.1:.-3191 lSCl\ Sale 1.\): 1009 00l\~&8 l'\err;haflt: 1 011\2/09 ~IS~ U-m~jJJn~S1't1.~ ~'l'11 V#~ i,pQr Coi.~: %\1\.1~ . Iota\': l\I'Jo\C~~~ ( copy custome vol) 11\^~' ' I I I' I I I cReceintl 12:2b;1\!\ . ~ \ \1~,~~ City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000038 . Date: 01112/2009 Item Total: Check Number Authorization Received By Batch Number Number' How Received CJC . 047176 Phone Payment Total: ' Page I of I, Jl:40:22AM Amount Due 79.00 29.00 5.40 12.96 . $126.36 Amount Paid $126.36 $126.36 1/12/2009