HomeMy WebLinkAboutPermit Mechanical 2009-5-11
Status
Issued
CITY OF SPRIN\JJ'l1!-LD
Building/Combination Permit
PERMIT NO: COM2009-00642
ISSUED: 05/11/2009
APPLIED: 05/ll/2009
EXPIRES: 11/11/2009
VALUE: $ 15,000,00
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Springfield TYPE OF WORK: Heating System
SITE ADDRESS: 1920 Olympic St
ASSESSOR'S PARCEL NO,: 1703254201601
Commercial
PROJECT DESCRIPTION: Change out rooftop condensing unit
TYPE OF USE: Repair
Owner: WINCO FOODS LLC
Address: PO BOX 5756
BOISE ID 83705
Contractor Type
Mechanical
I GONT.RACTOR INFORM^;TION I
..';'-'IIOW' '11011;.
Contractor I~ ~tif1CqtZlles a;.,?regnh License
SOURCE REFRIPI~Ai1;,!~tN &A'YAG,'~0w )~49200
-. " ~ -, '" ...., -- -".., ....,...
Lcll/iBUILDINGIINEORMAT-ION.I"S Yo
f)1./'h .. ,... 0 iI.
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er {, ORI), qlf) ilg~ qre vtlZ't
(#ofStOi;ies' Ooop' "OAn Set Iy
C "'Ii n '~!Y les "1'T 9 fOrt
el.nei~ht'iif td,ctuve Oft~~ '52-00 I)
''TSo1 U/) " . "Ie "~ r 7
Type hl!!(~t:vti/lty te/ep!}iI/es 6 .
Water Typc~32<?3 NOli!i .of)e :v
Rauge Type: 4<1). OqtiOf)
Energy Path:
Sprinkled Building:
Expiration Date
10/01/2009
Phone
714-578-2300
Lot Size:
Sq Ft 1st.Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
NO Paved Drive Rqd:
rltIS~Ct.; . % of Lot Coverage:
IIUrl!~ 'l:RM(...
II(,0tl1tl1t;2eQ'U~:%.'~~IMPROVEMENTS I
IVy 180 D~~D OR i; rltlS;E I;: rite
PeRla IIBIIIVD 'l:Rtl1lr WORk .
'D. OlVeD ;:d% lVor
Sidewalk Type:
Downspouts/Drains:
I Valuation Descriotion I
Type of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Pa~e 1 01'2
_G,~~~!'l~!'1I~"I;!,
".
1:\
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical-Value
Amount Paid
$22,17
$9.24
$184.75
Total Amount Paid
$216.16
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
5/11/09
5/11109
5/11/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00642
ISSUED: 05/1112009
APPLIED: 05/11/2009
EXPIRES: 11/11/2009
VALUE: $ 15,000,00
Receipt Number
2200900000000000507
2200900000000000507
2200900000000000507
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,
Rellllirerl Insllections I
Rough Mechanical: Prior to Cover
Fiual Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Spriugtield and the Laws of the State of Oregon pertainiug to the work described herein, and
that NO OCCUPANCY will be made of any structure 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 inspectious 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 pia us will remain on the site at all .
times during construction.
~P/L 1n /).Av<- 5-/" /Oc,
own&r Contractors Signature Date
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00642
COM2009-00642
COM2009-00642
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Mechanical, Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SOURCE REFRIGERATION
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000507
Date: 05/11/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
4018
In Person
Payment Total:
Page I of I
8:40:03AM
Amount Due
184.75
9.24
22.17
$216.16
Amount Paid
$216.16
$216.16
5111/2009