HomeMy WebLinkAboutPermit Mechanical 2009-7-28
CITY OF SPRIN\..l' IJ!,LD .
Building/Combination Permit
PERMIT NO: COM2009-01092
ISSUED: 07/28/2009
APPLIED: 07128/2009'
EXPIRES: 01/28/2010
VALUE: $ 9,400.00
Status
Issued
225 Fifth Slreet. Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 1 nspeclion Line
SITE ADDRESS: ]70] CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: ]703253404502
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install package heat pump
TYPE OF USE: New'
Commercial
Owner: ORDER OF ELKS LODGE #2145
Address: 170] CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
MARTIN CAS1;LEMAN-,LI,C 169547
fV';':;;i BUlbIJING'INF0RMATlON I
In OAR 9'~'; L-'ente' "U Oy th -"{Vires y
0090 \'0 52-'iCof St&ritt,:J, se fUel OregOn UOtU to
, "u ' vv II'" fiS Ilit
CEtlling th IIJHeighl of Structure are Set' y
n e - ' J'fl'~ ~- ~&'f OAR fOrth
UIIJber fa !YP'~,,~f ~:;:'.~: les of 952-00
C r t'Wa1e.; Type:?: th the rut I.
ente ,-'of"m., etel eSby
Rang'i.i~y'p~~lility N ephone
Energy Piltlt:?'2344otlflcalion
Sprinkled Building)' nla
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Conslruclion Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Selbacks:
Overlay Dis1:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lo1 Coverage:
Expiration Date
04107/2010
Phone
541-736-3438
LOI Size:
Sq Ft IsI Floor:
Sq FUnd Floor:
Sq Ft Basement:
Sq FI GaragelCarporl
Sq,Ft Olher:
Occupanl Load:
REQUIRED PARKING
To1al:
Handicapped:
Compac1:
Nn"'l"-
, J,
THI/)P~i!iWrJMPROVEMENTS I
CAUTHORIZED UVNllf-lLL EXPIRE IF TH Sidewalk Type:
OMME DER TH E WnDV
ANY 1 NCED OR IS A IS PERMIT 1S'~lJw\lSpou1sfDrains:
80 DAY PERIOD, BANDONED FOR NOT
Street Improvemenls:
Slorm Sewer Available:
Speciallnslruclion:
Notes:
'-
~,
I Valuation DescriDtion I
Description
$ Per Sq Fl
or multiplier
Square Footage
or Bid Amount
Type of Construc1ion
Page] 01'2
Value
Date Calculated
Status
Issued
225 Fif1h Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspec1ion Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical-Value
Amount Paid
$16,32
$6,80
$ 136.00
Total Amount Paid
$159,12
SUB Review
07/28/2009
Total Value of Projecl
Fees Paid I
I Plan Reviews ,
07/28/2009
Dale Paid
OK
7/28109
7/28/09
7/28/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-010n
ISSUED: 07/28/2009
APPLIED: 07/28/2009
EXPIRES: 01128/2010
VALUE: $ 9,400.00
Receipt Number
2200900000000000853
2200900000000000853
2200900000000000853
JF
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.
I Reouired Insnections .
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature. I state and agree. that I have carefully examined Ihe comple1ed application and do hereby cerlify ,that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
1he Ordinances of the City of Springfield and Ihe Laws of thc Slate of Oregon pertaining 10 1he work described herein, and
that NO OCCUPANCY will be made of any structure withoul permission of1he Community Serviccs Division, Building Safety,
1 furlher certify that only conlractors and employees who are in compliance wilh ORS 701.005 will be used on Ihis project.
I fur1her agree 10 ensure that all required inspections are requested al the proper time, thai each address is readable from the
slreet, that the permit card is localed at the front of 1he property, and Ihe approved sel of plans will remain on 1he site at all
times during construction.
-:i4/_~~
Ow 77 or Contrac10rs Signalure
Page 2 01'2
7/::2 9/09"
Date
225 ,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 092
COM2009-0 I 092
COM2009-01092
Paymenls:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CLIMATE CONTROL
8fl:~~;4i;
IlL"""
, City of Springfield Official Receipt
Developmcnt Scrviccs Dcpartmcnt ,
Public Works Dcpartmcnt
2200900000000000853
Datc: 07/28/2009
Item Tntal:
Check Number Authorization
Received By Batch Number Number How'Received
djb
030382 In Person
Payment Total:
Page 1 of I
2:21:37PM
Amount Due
136,00
6,80
16,32
$159,12
Amount Paid
$159,12
$159,12
7/28/2009