HomeMy WebLinkAboutPermit Mechanical 2009-6-12
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00785
ISSUED'; 06/12/2009
APPLIED: 06/04/2009
EXPIRES: 12/12/2009
VALUE: $159,000.00,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 725 A ST
ASSESSOR'S PARCEL NO.:
Springtield TYPE OF WORK: Heating System
1703354204900
,
Repair
Commerdal
PROJECT DESCRIPTION:
TYPE OF USE:
Replace 3 existing heating and ac roof top nnits
Owner: PACIFIC WESTERN BANK
Address: PO BOX 15144 DEPT KEY
WORCESTER MA 01615
I CONTRACTOR INFORMA T~ON ,
Contractor Type
Mechanical.
Contractor
FRESH AIR CO INC
License
66155
I
Expiration Date
04125/2010
Phone
503-692-1234
B,!ILDING INFORMATION'
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2~d Floor:
Sq Ft B,asement:
Sq Ft Garage/Carport
II Sq Ft Other:
,
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION'
~ REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
: Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
AIDTF~ITlt"I' "'/D--::- I '
f /I ownsponts rams: aw reqUires you to
o .ow rules adopted by the Oregon Uti lit
Notification Center, Those rules are set forfh
In OAR 952,001-001 9 through OAR 952-001-
OO;a~i;n~~rr~y obtai,n, copies of the rules bv
..... ;; --........,..y~vll.:;. lilt' leH:~pnone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
Special Instrnction:
NOTICE:
Noterl-llS PERMIT SHALL EXPIRE IF THE WORK
_..__,__n ,,,,nrn TUIC DCOMIT Ie; ~lnT
f"\U IIIUIIIL..l..lJ .....,.............. -
COMMENCED OR IS ABANDONED ~~'Valuation Descrintion I
ANY 180 DAY PERIOD, ." ,
. $ Per Sq Ft Sqnare Footage
or mnltiplier or Bid Amonnt
Type of Construction
Valne
Date Calcnlated
Description
Page I of 2
)
CITY OF SPRINGFIELD
. Build,ing/combination Permit
Status
Issued
,
PERMIT NO: GOM2009-00785
ISSUED: 06/1212009
APPLIED: 06/04/2009
EXPIRES: 12/12/2009
VALUE: $ 59,QOO.00
225 Fifth Street, Springfield, OR
541-726-3753 Ph'one
541-726-3676 Fax
541-726-3769 InspeCtion Line
Bid Amonnt
Use Bid Amonnt
$\.00
59,000.00
-if
ii
$59,000.00
$59,000.00
06/0412009
Total Valne of Project
Fees Paid'
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Mechanical-Value
Amonnt Paid
Date Paid
$61.09
$25.45
$509.08
6/12/09
6/12/09
6/12/09
Receipt Nnmber
I
1200900000000000674
1200900000000000674
1200900000000000674
Total Amonnt Paid
$595.62
I Plan Reviews I
SUB Review
06/04/2009
06/05/2009
APP DH
See attached docnments for energy
" code pla~ revie'Y approval.
To Request an inspection call the 24 hour recording at 726-3769. All inspJctions requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 ~.m. wiII'be made the following
work day.
I Ree.,."i.red T nspe~t,ions ,
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and agree, that I have carefnlly examined the completed applicationl and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 strnctnre withont permission of the Commnrity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 70\.005 will. be nsed on this project.
I fnrther agree to ensnre that all reqnired inspections are.reqnested at the proper time, t~at each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all .
"m~;~ 6 -12- -0,9
Owner or Contr~rs Signatnre Date '
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00785
COM2009-00785
COM2009-00785
Payments:
Type of Payment.
CreditCard
cReceintl
RECEIPT #:
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
FRESH AIR INC./CAL VIN
MIGANT
1200900000000000674
Received By
Check Number
Batch Number
nJm
Page I of I
City of Springfield Official Receipt
I
Development Services Department
,I
Public Works Department
Date: 06/12/2009
8:41 :05AM
Item Total:
Authorization
"
Numb,er How Received
Amount Due
509.08
25.45
61.09
$595.62
Amount Paid
012104 In Person
$595.62
Payment Total:
$595.62
6/12/2009