HomeMy WebLinkAboutPermit Mechanical 2007-5-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00765
ISSUED: OS/29/2007
APPLIED: OS/29/2007
EXPIRES: 11/29/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 303 S 5TH ST STE 400
ASSESSOR'S PARCEL NO.: 1703350000307
Springfield
TYPE OF WORK: Interior
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Modify space for InclusiLife Inc - food manufacturing
Commercial
Owner: CITY OF SPRINGFIELD
Address: 225 N 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Plumbing
Contractor License ExpirationJlate
KELLEY MCKINNEY BUILDERS LLC '10\)~'1\:
ERICSON ELECTRIC INC 95909 eo.\)\~~M~ail)Th~{\
CHAPIN ENTERPRISES INC 81991.", \'a-~ ~^ O~~~Q.()~~~r\O'
BUILDING INFOR~W~io '0'1 ~ ~\)\e~~~ 9"~\es \
~~~ \ s. ~fYJy ~ :'\'(\O~to\)9J'(\ ~ \'(\e ' ~of\O
# ofStoPes':~ tu\e G~~0 O'\O\'{\. ~\~Ps~~? a\\Of\
Height QO~Wui.\\O~ J:J::)VQ ~i>>~ CO :\.~q.'tl ~~<6r:
Type o~?~ 9~?,; e.~ O't> e~' \.~O ~~_~~loor:
Water T~" --(O\) ~ e cef\~ ,e9pf\ ~t'1fasement:
Range TY6~~'~X(t\~ ~ ~\'(\e 0 , ~"""Sq Ft Garage/Carport
Energy Path: C-a: ~0~ \0 Sq Ft Other:
Sprinkled Bu~: n/a Occupant Load:
Phone
541-902-7914
541-998-5848
541-485-1146
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I \J\\(\\\~
RE~~~'~ING
Overlay Dist: Ct:. \..\.. I(.~\'\'?~t~~~\'\ \<2>
# Street Trees Rq~()\\ \\~\\ S\\~ I(.\\. \\\\R.~R~0>l>~\\
Paved Drive Rqd: ,\\\S \'€ 11(.\J \.)~\J ~lQ~t'>act:
% of Lot Coverage: ~\\\C)\\.\ c\J C)\\. \<2>
rx ,,~"~I(.~c,\, oc\\.\C)\)' .
r: ("\ \'4\\"\ \J '\/"" ~ \,
I PUBLIC IMPROVEMENTSr\{ "\'0
Sidewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Vent Fan
Amount Paid
Date Paid
$10.00
$9.00
$4.50
$7.20
$42.00
$33.00
$3.00
$12.00
5/29/07
5/29/07
5/29/07
5/29/07
5/29/07
5/29/07
5/29/07
5/29/07
Total Amount Paid
$120.70
I Plan Reviews I
Planninl! Review
Public Works Review
Structural Review
OS/29/2007
OS/29/2007
OS/29/2007
OS/29/2007
OS/29/2007
OS/29/2007
APP T AJ
APP. JHJ
DON JMP
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00765
ISSUED: OS/29/2007
APPLIED: OS/29/2007
EXPIRES: 11/29/2007
VALUE:
Value
Date Calculated
Receipt Number
1200700000000000640
1200700000000000640
1200700000000000640
1200700000000000640
1200700000000000640
1200700000000000640
1200700000000000640
1200700000000000640
No New SDC's. (JHJ)
no building 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.
~eouiredJnsnections I
Rough Plumbing: Prior to cover and including required testing.
Grease Trap: Prior to Cover.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00765
ISSUED: OS/29/2007
APPLIED: OS/29/2007
EXPIRES: 11/29/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 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
stce"', that the permit card is located at nnt of the p<operty, and the app<oved set of plans w;II cemain on the site at all
t;mes dndn constrnc';on. c-. cr cUL~ ~;j r; ;0 7
Date ( /
v
Owner or Contractors Signature
Pal!e 3 of 3
225 F~ft~ StJ:eet
Springfield, Oregon 97477
541-726-3759 Phone
Cj...... of Springfield Official Receipt
L wpment Services Department
Public Works Department
Job/Journal Number
COM2007-00765
COM2007-00765
COM2007-00765
COM2007 -00765
COM2007-00765
COM2007-00765
COM2007-00765
COM2007-00765
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: OS/29/2007
1200700000000000640
Description
Fixture
Minimum/Adjustment Plumbing
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
INCLUSIUFE INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1058
In Person
Payment Total:
Page 1 of I
10:31:44AM
Amount Due
42,00
3.00
12,00
33.00
10,00
4,50
7,20
9,00
$120.70
Amount Paid
$120,70
$120.70
5/29/2007