HomeMy WebLinkAboutPermit Mechanical 2009-7-17
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CITY OF ~rKll'lGFIELD
Status
Issued
,
Building/CQmbination Permit
, PERMIT NO: COM2009-00953
ISSUED: 07/1712009
.APPLIED: 06/2912009
EXPIRES: 01117/2010
VALUE: $3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3620 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703153300300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install ductless mini split system
Owner:
Address:
,OREGON DEPT OF TRANS HWY COMMISSION
355 CAPITOL ST RM 119
SALEM OR 97310
I CONTRACTOR INFO~A TION ~
Contractor Type
Mechanical
Contractor
HARVEY & PRICE CO
,
License
77
Expiration Date
10/31/2010
Phone
541-746-1621
BUILDING INFORM;\T10N I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: I requires \Type:of Heat:
P . C .--~"-;".,,,. Oregon aw "r"... '"
nmary onstructJOn ,,'y~e' rl t db the Oregor,n.aterl.' ype:
Secondary Consjriiiitioi!'ryiie:~P \r;'e rules are 'Range\:rype:
# ofBedroom~~otificatlon_~~~_~~10 ;hrOugh OAR tEnerg{Path:
In OAR 952 obtain copies of the Sp'iiiikl~d Building:
rH'lQ() You may . ,,_ _ ......l..........h"np
callibng tfMr tChe~I~~~g\~~'U;II.iDEVEU0PMENT INFORMATION I
num er 0 3 . ..,
Center is 1-800-3 ;::-"-"""1.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq 'Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
, I PUBLIC IMPROV~MENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r.nMMF~Ir.Fn OR IS ABANDONED FOR
I I-\I~ Y IOU LJW PERIOD.
Valuation DescriDtio,n I
DownspoutslDra,~ns:
Description .,
Type of Construc'tion
$ Per Sq Ft
or multiplier
Squnre Footage
or Bid Amount
Value
Onte Cnlculated
Pa2e I of 2
..;lG~AINGllilIi\li-Q,,,,\ ,\."",,~
1" '.......
W
~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: GOM2009-00953
ISSUED: 07/17/2009
APPLIED: 06/29/2009
EXPIRES: 01/1712010
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees PairlJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechauical- Value
Amount Paid
Date Paid
Receipt Number
$9.30
$3.88 '
$77.50
7/17/09
7/17/09
7/17/09 ,
220~900000000000813
2200900000000000813
2200900000000000813
Total Amount Paid
$90.68
SUB Review
06/29/2009 .
Plan Reviews I,
OK
JF
passed 070309
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 ,Re(l!li.,redln~n~cti','~.s..
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state,and agree, that 1 have carefully examined the completed application and do hereby certify that all "
information hereon is true and correct, and 1 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 OCCUPA Y will be made of any structure without permission of the Community Services Division, Bnilding Safety.
1 further certify at nly COI c ors and emp'loyees who are in compliance with ORS 701.005 will be used on this project.
.1 further agr to en ure at all equired inspections are reqnested at the proper time, that each address is readable from the
street, that e p~it rd is I cated at the front of the property, and the approved set of plans will remain on the site at all
times durO g c stru ion.
~
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owne; co~cf Srgnatnre
Date
Paee 2 of 2
2:l5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00953
COM2009-00953
COM2009-00953
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
HARVEY & PRICE
j1,Q~;iJ
Wi.!
City of Springfield Official Receipt
!i. .
Developmellt ServIces Department
Public Works Department'.
2200900000000000813
Date: 07/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How:Received
KR
021307
In Person
Payment Total:.
Page I of I
II :45:45AM
Amount Due
77.50
3.88
9.30
$90.68
Amount Paid"
$90,68
$90.68
7/17/2009