HomeMy WebLinkAboutPermit Mechanical 2009-10-29
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225 Fiftb Street;;SprJ!,gfield, OR>:~, "';j) ,
541-726-3753 Pbone":::" , ' ~
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541-726-3676 Fa",' , ,
'5,41-726-3769 In~pe"ti<:l~pn~,
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CITY OF ~rK1j'ltyFIELD
Building/Combination Permit
PERMIT NO: COM2009-01588
ISSUED: 10/29/2009
APPLIED: 10/29/2009
EXPIRES: 04/29/2010
VALUE: $ 2,625.00
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SITE ADDRESS: ,,201 S ISTH ST ,
ASSESSOR'S PARCEL NO.: 1703360000500,
Springfield TYPE OF WORK: Heating System
Public
, ",' ,_ ,,,,,,i,',_, ',:, TYPE OF USE: New
PROJECT DESCRIPTION:;:" Iri'siiiIi'dnctless heat pump in workout room
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" Owner:- CITY OF SPRINGFIELD
Address: 20tS iSTH,SFATTN SPRINGFIELD UTILITY BRD
SPRINdFIELD OR '97477
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" I CONTRACTOR INFORMATION'
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Contractor Type~i~\:$-contnict~r License,
Mecbanical j' ,; i-I , AUTOMATIC HEAT .1~?'\5)
i,' .. ATTENjl~bi ~niNB '~I'r m'''''~:- ~I'
.,"~"','; lollOWrlL! ~ ., ~\l~1%,
# of Units: , .!'lotilication CI:efi~:;u~e~~ 952-001-
Primary Occupancy Group: In OAR 952-00 G, trPt6pi~llt1IHhe rules by
Secondary Occupancy Group: 0090.. You ma Ml!to\\IbIll: the telephone
Primary Construction Type ; ", nC::2r \~~ thWCfe!JQlP.utlllt.t~~)tlficallQn
Secondary Con~truct10~Type: '": '~-' -> Cente\l.lWlio@SG2......... . ,
# of Bedrooms::,- '-1,'";''' "', Energy Path:'
Sprinkled Building; n/a
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Frontyard Setback:
Side 1 Setback:
Side 2 Setback:,
Rearyard Setback: :. ,:, It.
Solar Setbacks: i ,;:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
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Description
Type of Construction
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I DEVELOPMENT INFORMATION'
Expiration Date
10/22/2011
Phone
541-726-7654
Lot Size:
, Sq Ft 1st Floor:
Sq Ft 2nd Floor:
, Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
,
REQUIRED PARKING
Total:
Handicapped:
, Compact:
Overlay Dist:
# Street Trees Rqd:
,',Paved Drive Rqd: ' ''.' ,
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0/0 of Lot Coverage:J,'.~~y~\iS,~~"t~~H<::'
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Vl!"H~ ..:.b1A..:..' ,:'-!: 1\\11\1111 "", ,'..'>:,
~1:'Ullld~KUy_~"~~t fOR ;:1'"
AU'n-\ORIH:.'u uO';; IS Al3, A~~N ON~1e)Vali;\~pe:
MEMCEO n '. ,,' ,,,, ,
COM '0 OW PERIOD. "", Downspoutsmrains:
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I Valn,ation Descriotion ,
$ Per Sq Ft
or multiplier
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, Square Footage
or Bid Amount
Page 1 of2
Value
Date Calculated
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01588
ISSUED:, 10/29/2009
APPLIED: 10/2912009
EXPIRES: 04/29/2010
VALUE: $ 2,625.00
Status IssuedJ,;c,'" " :;,;[
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225 Fiftb Street; Springfield, OR
541-726-3753 Ph'oneJ ,',
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541-726-3676 Filx ';'Iii"')'!,' ,,: ii
541-726-3769 Inspect;ion Line" "_, ,.,
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Total Value of Project
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Fee Description
+'12% State Surcbarge
+ 5% Technology Fee
Mechanical. Value
Amount Paid
Date Paid
Fees PaWJ
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" $8.13
$3.39
'" $67.75
10/29/09
10/29/09
10/29/09
Receipt Number
1200900000000001208
1200900000000001208
1200900000000001208
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Total Am~u~t 'Paid :;.,c;-,.,
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$79.27
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PlanReviews I:
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To Request ~n ins~ection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made':the same 'Yorking day, inspections requested after 7:00 a.m. will be made the following
work day. ::; ';f--'~:' '.. ','
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R",,"-ed 11 ~rJecrioil" II
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Rougb Mecba,!ical: Prior to Cover '
Final Mechanical: Wben all mechanical work is complete.
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By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify that all
information her,eon is:!true and correct, and 1 further certify that any al)d all work performed sbaU be done in accordance with
tbe Ordinances of the',City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and
tbat NO OCCUPANCY will be made of any structure without permissi~n of the Cop"punity Services Division, Building Safety.
1 furtber certify that Jnly contractors and employees who are in compliance with ORS'701.005 will be used on this project.
I further agree to ensrire tbat all required inspections are requested at the proper tiin;, that each address is readable from the
street, that the permii' card is located atthe front of the property, and the approved set of plans will remain on the site at all
ti~es dur~g construc~,tow. , ';/< "
II 10- -;;:::'/- (!) q
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Owner or Cont;actdr~ Signatuf{
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Date
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Page 20f2
225 Fif!b Str~eL, _ _'______-"--_ ..t.'!'~eIl'~"""'"
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Springfield, Oregon 97.~77. "
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541-726-3759 Phone';;:':""""
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Job/Journal Number
C0M2009-01588
COM2009-01588
COM2009-01588
Payments:
Type of Payment
CreditCard
cReceint 1
. ,'. ')c,,")li',;RECEIPT #.
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Description
iVIechanical-Value
t 5% TechnologyFee
,:;. 12% State~urcharge
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. Paid }~y .
,'!EUGENE HEATING AND
COO~ING;i,'n'~s' '~,
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1200900000000001208
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Received By
Check Number
Batch Number
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Page 1 of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
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Date: 10/29/2009
9:24:27AM
Item Total:
Authorization
Number How Received
Amount Due
67,75
3.39
8,]3
$79.27
Amount Paid
005830 [n Person
$79,27
Payment Total:
$79,27
10/29/2009