HomeMy WebLinkAboutPermit Mechanical 2009-11-18
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CITY OF SPRINGFIELD
Building/Combination Permit
,
Status
Issued
PERMIT NO: COM2009-01669
ISSUED: 11/18/2009
APPLIED: 11/18/2009
EXPIRES: 05/18/2010
VALUE: $ 1,469.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4765 MAIN ST
ASSESSOR'S PARCEL NO.: 1702320000102
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
Public
PROJECT DESCRIPTION: Chan~e out gas fired unit heater
Owner: CITY OF SPRINGFIELD
'Address: 344 NORTH A ST CITY HALL
SPRINGFIELD OR 97477
i CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor Lil)~
INNOVATIVE AIR INC l'"u\te'f~~i\'!..
I BUlL~QNF.i-t' -'1'''-;'.00,\0
~u".,! 6,oQ\,f,d. ~~ o~u\e'~
~~ tu\Q/! ~~Qti;\\~lou9" 0' ~e ~()l\'
\0\\0 ~ioR tOIi'Slwst>1ll~~e \e\e ~
~o~~~ 9~ ~1~t\~0\t\iW1~~~.
\l\ g\). '(a4' lfgl'e9~~')(1{J;V'-
f;/J ~\\{ltJ. ""," ,P---
~ ,,:
~ Sp mkled Buildin~:
Expiration Date
10/11/2010
Phone
541-746-1040
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction ~ype:
# of Bedrooms:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n1a
i DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Covera~e: '/..
. ~TC~~i~~~
I PUBLIC IMPROVE~)~?,,^~ S\\f/.\.\. 1\,\\S-?f."'l-JI\\~1\-
, {r\\,J OR\laQll~~~~)jIte~~OO~~1>>
(>.\\1\-1 ~po1{\'"
CO\'J\\'J\'C~ \5'f..~~I!.ft\~furains:
(>.t-l'l'\8Qn
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S~reet ]mprove~ents:
Storm Sewer Available:
Special Instruction: .
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of2
Status . Issued
225 Fifth Street, Sprin!(field, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2009-01669
ISSUED: 11/18/2009
APPLIED: 11/18/2009
EXPIRES: 05/18/2010
VALUE: $ 1,469.00
Bid Amount
Use Bid Amount
$1.00
1,469.00
$1,469.00
$1,469.00
11/1812009
Total Value of Project
,-F"p, P"illJ
Fee Description
+ 12% State Surcharge
+ 5% TechnololO' Fee
Mechanical-Value
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
11/18/09
11118/09
11/18/09
1200900000000001267
1200900000000001267
1200900000000001267
Total Amount Paid
$67.86
Plan Reviews ,
SUB Review
11118/2009
11/1812009
OK
DH
no issues
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.
'R~r~
Rough Mechanical: Prior to Cover
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 ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division"Buildin~ 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 a~ree 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.
(~.u/.L. '/U~ _ _
(/-(8' ~09
Owner or Contractors Signature
Date
Page 2 of2
225"Fifth Street
, .. .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 669
C0M2009-0 I 669
COM2009-0 I 669
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
INNOVATIVE AIR INC
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001267
Date: 11/18/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
045202 In Person
Payment Total:
Page I ofl
1:21:22PM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
11/18/2009