HomeMy WebLinkAboutPermit 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
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I'
I
I
I
cReceintl
12:2b;1\!\ .
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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