HomeMy WebLinkAboutPermit Building 2010-4-12
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: COM2010-00425
ISSUED: 04/12/2010
APPLIED: 04/05/2010
EXPIRES: 10/12/2010
VALUE: $ 6,984.00
SITE ADDRESS: 333 58TH ST
ASSESSOR'S PARCEL NO.: 1702343200100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install 2 ductless split systems
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor License
PACIFIC AIR COMFORT INC 39237
. BUILDING INFORMATION I
Contractor Type
Mechanical
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
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Sid.e>ya!k,Type1;/" 0"
d.... ~O,,1'
,..' ....... "'D~~?\we~'fs~~\101
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# of Stories: oU \~
Heigbt of Str~ ~ \)'l\\'(rf
11.1] ~~e 01690 se\\OtU\
ON'.m?' ~~ (\l\ese.1e <iO?'OO....
~1'tE.~\e$ t;Q ~~~uc;\" ~e tu\e$ ~
\Q\~c:'!,..A\\Ol\ ~~~~eS \e\e~~~Ql\
~~()\\\~<iO'l.""rJtIlO'tj~~"'l~l'~eNO:'<<IfII'irIl1
\t_~l\..
~~ATlON I
~~ '6~~~~:;SDist: ..
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS ~
$ Per Sq Ft . ':" . Square Footage
or muliiplier. ". i.:" .' or Bid Amount
.';'
Paee I of 2
Commercial
Expiration Date
03/25/2012
Phone
541-672-9510
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:
Value
Date Calculated
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00425
ISSUED: 04/12/2010
APPLIED: 04/05/2010
EXPIRES: 10/12/2010
VALUE: $ 6,984.00
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Mechanical CII Use Bid Amonnt
$1.00
6,984.00
$6,984.00
$6,984.00
04/0612010
Total Valne of Project
Fees Paid J
Fee Descril,tinn
+ 12% State Snrcharge
+ 5% Technology Fee
Mechanical-Value
<~. l'
Amount Paid,:... , '. "
j -. .t;;~,.
Date Paid
Receipt Number
$12.8):....
$5.34.' .
$106.75
4/12/1 0
4/12/10
4/12/10
1201000000000000327
1201000000000000327
1201000000000000327
Total Amount Paid
$124.90
Plan Reviews I
SUB Review
04/06/2010
04/09/2010
APP DH
No inspections required
To Request an inspection call the 24 hour recording at 726-3769. All inspections requ'ested 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.
LRelluired InsDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work'is complete.
:- ,j:.~~ .. .". .
By signature, I state and agree, that I have carefully e~amine~. the completed application and do hereby certify that all
information hereon is true and correct, and I furthe.',certifythat 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 stmcture 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 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.
/JL/ ;// /20/[J
/ /
Date
Signature
Pa~e 2 01'2
. .~.~"
'-...,.
225 Fifth Street
Spribgfielct, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000327
Date: 04/12/2010
8:39:57 AM
Job/Journal Number
COM20 1 0-00425
COM20 1 0-00425
COM20 I 0-00425
Payments:
Type of Payment
Check
cReceintl
Description
Mechanical- Value
+ 12% State Surcharge
. + 5% Technology Fee
Paid By
PACIFIC AIR COMFORT INC
Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
Amount Due
106.75
12.81
5.34
$124.90
Amount Paid
djb
$124.90
$124.90
13408
In Person
Payment Total:
, .
" ;"
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4/12/2010