HomeMy WebLinkAboutPermit Mechanical 2009-12-2
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01674
ISSUED: 12/02/2009
APPLIED: 11/19/2009
EXPIRES: 06/0212010
VALUE: $ 5,700.00
SITE ADDRESS: 188 W B ST
ASSESSOR'S PARCEL NO.: 1703352312401
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
PROJECT DESCRIPTION: Bldg 0 - Replace split sytem heat pump and connect ductwork
Commercial
Owner: JOLLY INVESTMENTS LLC
Address: 175 W B ST BLDG L
SPRINGFIELD OR 97477
I ~ONTRACTOR I~FORMA TI,O~ I
Contractor Type
Mechanical
Contractor
JOHN FRANK SOKOL
License
163118
Expiration Date
02/08/2011
Phone
541-513-7279
~UlLDlNG INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Gronp:
Prima ry Constrnction Typc
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:, ..,
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side I Setback:
Side 2 Sctback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMA~ION I
~res ,/OU ~
lIIaWt ~~I\'d'I
\'-I110W, Ole~~d '0'1 \\\El1 ~ 18 \'efl~9 d:
",11~ rUleS adO\l I\\Ose t}l .\WIl6~ '
'oIlO~ liOnCen\e~~O\\\IOUa'~M~r" e:
l'IoI\I~C: 952'00~'0 blain CO?I?~e \ele~~_
:.... ('\1"' .......-:1\' 0 't-\('\~A. \\1 .'_'il'QD.\lV"w
0090" ,ut\\e cenWi'Il~L~J~VEMENTS'
callIng 101 \\'Ie.C\~,.
lIUtllbBI cen\el IS
REQUIRED PARKING
Total:
Handicapped:
Compact:
." .,'
Sidewalk Type: t:: "to?-" .
, x'~~~' ~
. ;' Downspout'{~?I\lI'i:\ \1 \'21 ~O
5)i\C~~i'J\\' S\\[l.\..~?- ,\\\'21 ?t.~~~ to?>
I~IS ?O\'l\lt.~ I.\~O IS [l.'O[l.~OO
\J\\-I cO O?>
, _. ,,~I=\i.\C _r.Q\Cl~,
'P" Of" ,L
I V aluation DescriDtion~l('{ ~ 'CO
Street Improvements:
Storm Sewer A vail"ble:
Special Instruction:
Notes:
l)escriptioll
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
_~F!AI~ftlF,liIL~;'i*~~Iw~
~\. ~
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01674
ISSUED: 12/02/2009
APPLIED: llfl9/2009
EXPIRES: 06/02/2010
VALUE: $ 5,700.00
Status
Issued
Bid Amount
Use Bid Amount
$1.00
5,700,00
$5,700,00
$5,700.00
1111912009
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical-Value
Amount Paid
Date Paid
Receipt Number
$11.64
$4.85
$97,00
12/2/09
12/2/09
12/2/09
2200900000000001345
2200900000000001345
2200900000000001345
Total Amount Paid
$113.49
Plan Reviews I
SUB Review
11/1912009
11/2012009
APP JF
Pass energy code review for BV AC
only. no inspections are required
for energy conservation.
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(Juir~d Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I statcand 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 iu 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 witbout 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.
~.d/
Owner o~ontractors Signature
1:2-.2-0'1.
, ,
Date
Paec 20f2
22~, .'ifth ,Street
SpHngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1674
COM2009-0 1674
COM2009-0 I 674
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Mechanical- Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
WESTS IDE HEATING
~}:Q(LD_" ".'." ',i,
" ',',,",' ,'.:
.",'-'
City of Springfield Official Receipt
Development Services Department
Publie Works Department
2200900000000001345
Date: 12/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
394764 In Person
Payment Total:
Page 1 of I
I :40:29PM
Amount Due
97.00
4.85
11.64
$113,49
Amount Paid
$113.49
$113,49
121212009