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Home My WebLink AboutPermit Building 2010-4-7 Status Issued I'" ,~.". , , ,., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00353 ISSUED: 04/07/2010 APPLIED: 03/23/2010 EXPIRES: 10/07/2010 VALUE: $ 11,530.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line r'l' ''P SITE ADDRESS: 11 0 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Replace ac unit Owner: ,PACIFIC HOSPITAL ASSOCIATION, Address: PO BOX 7068 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor , ."", 'License COMFORT FLOW HEATING CO. 460 I BuiLDIN'C INFClRMATlON ~ ATT~~oopfjnegon law requIres Y~I:::V Lot Size: follow RA\g9~~~Jhe o~ea~~~et forth Sq Ft 1st Floor: NotificaT~lIIer.t:Those ru~eOAR 952-001- Sq Ft 2nd Floor: In OAR'000tGllI1yPll:19throu~s of the rules bySq Ft Basement: 0090.. 'RlUJ~8I1~!~ln ~~: the telephone Sq Ft Garage/Carport calhrJt)l\litfPlltft.. ( Utility Notification Sq Ft Other: num~rlii\iklM.QrllllR,'13:32_2344r./a Occupant Load: ~Anter IS ,.:g(j(t . I DEVELOPMENT 1NFORMA T10N I Expiratiort Date 06/27/2011 Phone 541-726-0 I 00 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist:' .--" # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS .",,')<0,;:~~,;;;i.;'ii"""''!.':'''' trnT1\;t"'rr $U"\l ~1$'I~~liT~lW:2RO~ , 'HilS PERIVI n Hl.~ ll~,f( r~'.. ','f!!! 'frle~IZEO ,UNDER T DO'" tf6R'ins: "Cl"il'U" ." CEO' OR IS ABANDO '; 'COMMEN , " , ): 'ANY 180 DAY PERIOD. Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e, 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00353 ISSUED: 04/07/2010 APPLIED: 03/23/2010 EXPIRES: 10/07/2010 VALUE: $ 11,530.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Mechanical CII Use Bid Amount $/~OO / ";'. 11,530.00 $11,530.00 $11 ,530.00 03123/20 I 0 "Total Valuc of Project LFees Paid ~ Total Amount Paid Amouut Paid Date Paid Receipt Number $18.66 417110 1201000000000000306 $7.78 417110 1201000000000000306 $155.50 '417110 1201000000000000306 $181.94 I Plan Reviews I 03/23/20 I 0 03/26/20 I 0 APP JF HV AC Only - No inspections to be conducted. Fee Description + 12% State Surcharge + 5% Tcchnology Fee Mechanical-Value SUB Review 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. ",,':' . ~ ~d" '~ !,!" . , ., ' . Renui'red Insoections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I stale 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 tbe 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 arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspec\ions arc 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. r-/ /1/10 v l Date " ...". '. ~. ':1'1, ~ 1:.\'., Paee 2 of2 225 Fifth Street Springfield;Oregon 97477 541-726-3759 Phone 8j:a.~~...'!!,Oii .. .:.... ~i" ) '^'-""~'" . . ,-',' . , _._._._ ',,' _,' .,. c' _ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000306 Datc: 04/07/2010 11 :39:39AM Job/Journal Number COM20 I 0-00353 COM2010-00353 COM2010-00353 Payments: Type of Payment Check cReceintl Description Mechanical-Value + 12% State Surcharge + 5% Technology Fee Paid By COMFORT FLOW HEATING Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 155.50 18.66 7.78 $181.94 Amount Paid djb 48719 In Person Payment Total: $181.94 $181.94 Page I of I 4/7/20 I 0