HomeMy WebLinkAboutPermit Mechanical 2006-11-14
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I455
ISSUED: 11/14/2006
APPLIED: 11114/2006
EXPIRES: 05/14/2007
VALUE:
SITE ADDRESS: 1124 MAIN ST
ASSESSOR'S PARCEL NO,: 1703354104400
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Type 2 Hood and gas line exteusion.
Owner:
Address:
KRYL MIRKA Y
3474 SPRING BLVD
EUGENE OR 97405
^Q-*-
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I CONT~CTOR'INFORMATlON I
, .
x," ~" ~'"
Contractor -x.{f <:i.~<:(' ~~ <<. License Expiration Date
DAVID M HINKI,~~~S ,S'~~ 54276 J 10110/2007
<.' -< S~:-rJlljJbrliNG INFORMATION I ",0':,~~"" t.
",:y' ~, ,'~ II ~., V ,0 ~
~,'V ~~ ~'S ~,-;o ~, .,>'" 0<:- 0' s:-" .
# of Units: ~~ <:i.'<; 0,.'<; ~ <::s ~"itof Stories: .,' cl~ ~0 <:;ci~Lo!..~ize:
Primary Occupancy Grou(l:-).~S x-.~<(-\"'<; :A <:i.'<; Height of Structure .'~ ~f?' -",6J 'ti-'?-<<- 5i.q\~~,lsttloor:
Secondary Occupancy Group.~~, .~<<; ~~ Type of Heat: .' '0,;" ? ", 0 "'''~!I(Ft}9d Floor:
Primary Construction Type <::)~~~ Water Type: ~'. ;,;-0 ~o<:,<J 0"Cf' ~ a- ,iSq: ~t'Basement:
Secondary Construction Type: <:l #- Range Typf:' (:P~ ,-:-" 'S'~ 0~,0, 'S'0 ,~ij'h, GaragelCarport
# of Bedrooms: Ene~!lY;P~!!l:'~ ,f''P ~,,'\ \<:- G ~o,0' ~~"\~9>Ft Other:
Spr!nlded.B~i,ldinj:' '$:;\.~' ~n/a"V ,,~Occupant Load:
yo.. ,^,~ ....0 _\."j ,0 ..t>~'....o r...._
I DEVELOPMEN'i-dNFORMAT'ION: ,pv
,- ty ,- ~~ :(.".. ,:.I
'.s- o.'\J' ~,<:-~ ,0 1.0'
Overlay!Dis!i~ ,!\,(l cl'
# Street Trees,R'qd:
Paved Drive Rqd:
% of Lot Coverage:
Phone
503-650-1023
Contractor Type
Mechanical
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearysrd Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valu~ltion Descriotion I
"
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
.
.11 i' OF SPRINul'lJ'.LU
Building/Combination Permit
PERMIT NO: COM2006-01455
ISSUED: 11114/2006
APPLIED: 11114/2006
EXPIRES: 05/14/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fees P"i&J
Fee Description
--Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Exhaust Hoods
Gas Outlets 1-4
Minimum/Adjustmeot Mechapical
Amount Paid Date Paid Receipt Number
$10.00 11/14/06 2200600000000001577
$4.50 11114/06 2200600000000001577
$2.25 11114/06 2200600000000001577
$3.60 11114/06 2200600000000001577
$9.00 11114/06 2200600000000001577
$4.00 11114/06 2200600000000001577
$32,00 11114/06 2200600000000001577
Total Amount Paid
$65,35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
'RI'~
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
Final Gas: When all gas work is complete,
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I 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 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 inspections 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 plans will remain on the site at all
times during construction,
~~~~\~
J
Owner or Contractors Signature
\\- \4-flr....,
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
~\4I-726-3759 Phone
. T;:F?,~., .,'
wr, .
Ci!Kf Springfield Official Receipt
D.pment Services Department
Public Works Department
Job/Journal Number
COM2006-01455
COM2006-01455
COM2006-01455
COM2006-0 1455
COM2006-0 1455
COM2006-01455
COM2006-01455
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000001577
Date: 11/14/2006
Description
Exhaust Hoods
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PACIFIC RIM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp
3199
I n Person
Payment Total:
Page 1 of I
II :49:43AM
Amount Due
9.00
4.00
32.00
10.00
2,25
3.60
4.50
$65,35
Amount Paid
$65.35
$65,35
11114/2006