HomeMy WebLinkAboutPermit Mechanical 2009-6-1
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CITY OF SPRINGFIELD
Building/Combination Permit
,,'
Status
Issued
PERMIT NO: COM2009-00542
ISSUED: 04/24/2009
APPLIED: 04/23/2009
"
EXPIRES: 11/08/2009
VALUE: $ 4,500.00
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1810 15TH ST
ASSESSOR'S PARCEL NO.: 1703252302401
Springtield TYPE OF WORK: Heaiing System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Inslall2 AC units for Melco offices
Owner: RONALD D & LINDA G PERKINS REV TRUS
Address: 40995 DEERHORN RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type Contractor License
Electrical ,OREGON ELECTR~~~!}-ltl'ICE 181997
Mechanical _,~..,~!lIJ>).)\S\H'RA~IJ,M~l)\i\lTf{ CONDITIONIN 164497
, />.\\,~~\~~i~~ adopte~;~s~'r~\es 8fCBU:'J;,~I~G INFORMATION I
10 , 1'1 center. gn 0/>." - b
No\iliCatlO OO~ 0 tnrOU \tne rules Y
# of Units: , 0/>.P.952-00~- btai1'1Copies 0 \ tful'.\3S10ries: ,
Primary oclPuua,' nclli!l-\'O'ufl! Ot r (Note: tne Nte etP1'I,H\\i,gfl1 of Slructure
U\l~V' . r;i'i!' e . TIY 0 I co.
Secondary Occ~!P.~.u9'\~(J\'Ie: oregon Uti \ 344). Type of Heat:
Primary cons\';~~liDD~~r is ~_80\YB'32-Z Water Type:
Secondary ConslrucliJnSfSpe: Range Type:
# of Bedrooms: Energy Palh:
Sprinkled Bnilding: nla'
Expiramm Date
05/09120 I 0
07/11/2009
Phone
541-343-1681
'541-461-1282
Lol Size:
Sq FllSl Floor:
Sq Fl 2nd Floor:
Sq Fl B,asemenl:
Sq Fl Garage/Carporl
Sq Ft qlher:
Occup~:nl Load:
I DEVELOPMENT INFORMATION I
'REQUIRED PARKING
: Tolal:
",Handicapped:
, Compacl:
Fronlyard Selback: '
Side I Selback:
Side 2,Selback:
Rearyard Selback:
Solar Selbacks:
Overlay Dist:
# Slreel Trees Rqd:
Paved Drive Rqd:
% of Lol <=.~, ~
, \~~~,~':'~~
!'flT,r.E: _"., \ ~,~1:__}a\" \S \\\)
I- IS pcR~\I' :" r,. w1iJ.(tlJj' '~iI~FlNTS
i\'\ LIODI"1c'U \.l~1 ., ,m~~, I
f>.\li f' D /.. OR I'" ""DC" -
CONlNlH-l~~ PcRIO'U.
f>.\'-l'/ ,,'Oil LJ .
J Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Special Inslruclion:
DownspoutslDrai;~s:
Notes:
Pa2e I of3
Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
I Valuation Oescriotion I
Description Tvpe of Construclion
Bid Amount Use Bid Amount
$ Per Sq Ft
, or multiplier
$1.00
Square Foolage
or'Bid Amount
4,500.00
Tolal Value of Project
FPr~P'l~
Fee Description .
, + 12% Slale Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% Slate Surcharge
+ 12% Slate Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Mechanical- Value
Mecllanical- Value
Reversal- + 12% Slale Surchar
Reversal - + 5% Technology Fee
Reversal- Mechanical-Value
Amounl Paid
$8.04
$3.35
$55.00
$12.00
$10.47
$28.02
$4.36
$11.68
$87.25
$233.50
$-28.02
$-11.68
$-233.50
Tolal Amount Paid
$180.47
I Plan Reviews I
.sUB Review'
04/23/2009
05108/2009
Dale Paid
4/24/09
4/24/09
4/24109
4/24109
611/09
611/09
6/1/09
6/1/09
6/1/09
611/09
611109
6/1109
6/1/09
APP DH
CITY OF SPRll~IJl'1ELD
, puilding/Combination Permit
PERMIT NO: COM2009-00542
ISSUED: 04/24/2009
APPLIED: 04/23/2009
EXPIRES: 11/08/2009
VALUE: $4,500.00
Value
Dale Calculaled
$4,500.00
$4,500.00
06/01/2009
Receipl Number
2200900000000000432
2200900000000000432
2200900000000000432
2200900000000000432
2200900000000000582
1200900090000000575
2200900000000000582
1200900000000000575
2200900000000000582
1200900000000000575
1200900000000000576
1200900000000000576
1200900000000000576
np inspections req'd.
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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.
~Rp:nllirprlJnsnec.tions I .
Rough Mechanical: Priorto Cover
Final Mechanical: When all mechanical work is complele,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complele.
Paee 2 of3
_&f!RII<iP',P,II!"~:
l'
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-~7691nspection Line
CITy' OF SPRINGFIELD
I,
Building/Combination Permit
PERMIT NO: COM2009-00542
ISSUED: 04/24/2009
APPLIED: o4i23/2009
"
EXPIRES: \11/08/2009 '
VALUE: $ 4,500.00
"
By signature, 1 slate and agree, lhat 1 have carefully examined the completed application and do hereby cerlify lhal all
informalion hereon is lrne and correcl, and I furlher certify lhal any and all work performed shall be done in accordance with
, ,
lhe Ordinances of lhe City of Springfield and lhe Laws of lhe Slale of Oregon pertaining 10 lhe work described herein, and
lhat NO OCCUPANCY will be made o(any slruclnre wilhont permission oflhe Community Services Division, Building Safely.
I further cerlify thaI only contraclors and employees who are in compliance with ORS 701.005 will be used on lhis project. '
I further agree'lo ensure lhal all reqnired inspeclionsare requesled allhe proper time, lhal each ,iildress is readable from lhe
streel, lhallhe permit card is located al tbe fronl of lhe property, and lhe approved 5et of plans wi!1 remain on the sile al all
times during construction.
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Owner opContractors Signature ,
Page 3 01'3
SeA-vCl cJ fI
Date
"
225 -Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00542
COM2009-00542
COM2009-00542
Payments:
Type of Pay men I
Check
cReccioll
RECEIPT #:
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ANDYS HEATING AND AC
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IIL-'
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000582
Date: 06/01/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB 2052 In Person
Payment Total:
Page I of I
9: 11 :32AM
Amount Due
87,25
4,36
10,47
$ I 02.08
Amount Paid
$102,08'
$102,08
6/1 12009