HomeMy WebLinkAboutPermit Mechanical 2005-4-13
CITY OF SPRINGFIELD -
~
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00416
ISSUED: 04/13/2005
APPLIED: 04/13/2005
EXPIRES: 10/13/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2355 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703244402200
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Public
, PROJECT DESCRIPTION: Install exhaust fan in storage room #157.
Owner:
Address:
SCHOOL DISTRICT #19
525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HARVEY & PRICE CO
License
77
Expiration Date
10/31/2006
Phone
541-746-1621
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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I BUI1JDING'INFORMATION I
, ~'(.. ~\(-..~\' <.;'0\ '
# ~f Units:, \.f1. ~StR~ ~!~ies: Lot Size:
Pflmary Occupancy Group: ~t-r>:V\.."0 ,\'0 \.l~l~t of Structure Sq Ft 1st Floor:
Secondary Occupancy Grou'p':-V;. ..,'0 S ~'\><(;. ~'O\'Type of Heat: Sq Ft 2nd Floor:
Primary Construction ~pf~\> ~"0~' '\> \) R-- \S ~ Water Type: Sq Ft Basement:
Secondary Construction.Ty..\f~8 0J~1...<(;.<;.v'\> \j'Y.\.~\j Range Type: ,aq Ft Garage/Carport
# of Bedrooms: '\'\ ':0'\'0 .. \\~~'-l \\~ Energy Path: o~ ,~Ft Other:
~ \:)~\'" <010 v Sprinkled Building: n~~'":l ~ \J~C(9'h'<P.ant Load:
\,,' \ ~'l\v.,,<0 r>' _"V
~~. I DEVELOPMENT INFo~~~ro,~~~e:i'e 6~~'1::'":l'O'\
.....0' i'\ " ~e O'r<?- e -..~ o<0~QUIRED PARKING
~e~ 0'0 se ~ !:-..~ R~~~' .
Overlay Dist:~.O R,e -<..,'<00 ~Ov, e'":l 0 ,~e ,~,c;o']:otal:
# Street ~~~~<<a? ~e" (;) ~ 0~'I. . \S'e ~o~ . Handicapped:
Paveg~~fivtJt'q't;e<" ~~<:)"\ iP ~~o,e~~~'\ ~~ Compact:
% o1>t~\b~o&~-aa:~ . 0'O~ ~. ~ 0<0 ~'1:q;
,0 ~\(1). ~~ ~~~ e<0\.eO-..eC$ ~\yn:,
,\() ....<(-. _\\ ;-V,~ . ~
.1 PUBLIC IMPRO~J9~1:~t '\\~~-..'~ .
v V 'S)'V C;e<"
. . ~~' Sidewalk Type:
~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pafe 1 of 2
I-Wi:~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00416
ISSUED: 04/13/2005
APPLIED: 04/13/2005
EXPIRES: 10/13/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Minimum/Adjustment Mechanical
Vent Fan
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$39.00
$6.00
4/13/05
4/13/05
4/13/05
4/13/05
4/13/05
Receipt Number
2200500000000000429
2200500000000000429
2200500000000000429
2200500000000000429
2200500000000000429
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Reouired Insoections I
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 of the 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, 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.
v~o^' ~n1-
G~~~t~a'cto;; Signature
j)~/;3h~
Date
Pae:e 2 of2
t 215 Fifth Street
Spr-!ngfield, Oregon 97477
541-726-3759 Phone
C'ity of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #:
2200500000000000429
Date: 04/13/2005
3:11:52PM
Job/Journal Number
. COM2005-00416
COM2005-00416
COM2005-00416
COM2005-00416
COM2005-00416
Description
Vent Fan
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
, 1,:,,Payments:
i:'TYpe of Payment Paid By
Check HARVEY & PRICE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 007030 In Person
Payment Total:
Amount Due
6.00
39.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65
, .
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4/13/2005
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