HomeMy WebLinkAboutPermit Mechanical 2004-12-17
Status
Issued
. CITY OF SPRINGFIJ!.,LD .
Building/Combination Permit
PERMIT NO: COM2004-01490
ISSUED: 12/17/2004
APPLIED: 12/06/2004
EXPIRES: 06/17/2005
VAL UE: $ 50,000.00
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: School
TYPE OF USE:
Alteration
Public
PROJECT DESCRIPTION: Boiler replacement.
Owner: SCHOOL DISTRICT #19
Address: 525 MILL ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Architect
General
Contractor
SOLARC
LEBANONSERVCOINC
License
Expiration Date Phone
541-349-0966
10/22/2006 541-451-5090
40395
BUILDING INFORMATION.
# of Units: # of Stories:
Primary Occupancy Grolip: E-l Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: . Ra~~~~~
# of Bedrooms: . ~?\'i\t.~fie\-I!); ~'3t~~?\.
,,\~1\C~. -1" S\-\r:...\..\.. 'C Ll\S ~N 1d~t~ddlllg: n/a
\'(IV j\,t-.~" _....0 In _~\c" r
.\\-\\~~O'i\\lt.D \);\~\ lll1V~tOPMENT INFORMATION.
r:...\)G~~t.~Ct.~ ?t.\\\GIJ. "
Frontyard Setback: . C \'\"( \ COG D~ Overlay Dist: .
Side 1 Setback: f\ # Street Trees Rqd: .
Side 2 Setback: . Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Bas'ement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
,,'., ~ ~ .
Street Improvements:
Storm Sewer Available:
Special Instruction: '
I PUBLIC IMPROVEM~ION: Oregon law requires you to
.. ,follow rules 8~WS\R t;y~ Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-0&r.:tlO~~'~AR 952-001-
0090. You may obtain copies of the rules by
calling the. center. (Note: the telephone
,number for the Oregon UtIlity Notification
, .evlIlv. :... i-:es eCl:. ~5l1).
IVa'luation Description I" .,
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
. ,Pafe 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01490
ISSUED: 12/17/2004
APPLIED: 12/06/2004
EXPIRES: 06/17/2005
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
50,000.00
$50,000.00
$50,000.00
12/06/2004
Total Value of Project
~
Fee Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Comm Over 50 HP
Building Permit
Vent Fan
Amount Paid Date Paid Receipt Number
$240.92 12/6/04 1200400000000001698
$148.26 12/6/04 1200400000000001698
$10.00 12/17/04 1200400000000001758
$45.17 12/17/04 1200400000000001758
$31.62 12/17/04 1200400000000001758
$75.00 12/17/04 1200400000000001758
$370.65 12/17/04 '. 1200400000000001758
$6.00 12117/04 1200400000000001758
Total Amount Paid
$927~62
I Plan Reviews I
Initial Review
Structural Review
12/07/2004
12107/2004
12/07/2004
12/10/2004
APP SKG
WE JMP
Structural Review
12/13/2004
12/13/2004
10 JMP
Jack Yousey submitted 4 page
addendum #1. Still waiting for
contractor and cost/value data.
WE. Received 3 pages of
Addendum #2,
Received general contractor data
and verification of cost/value.
Structural Review.
, 12/15/2004
12/15/2004
APP " JMP
SUB Review
12/07/2004
12/15/2004
APP JF
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, ins.pections requested after 7:'00 a.m. will be made the following work
day. ""
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover. . ,
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the buil~ing is complete:
Rough Mechanical: Prior to Cover .
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Fi~al Electric: When all electrical work is comple.te.
.' ' - Pafe20f3'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line. .
(,
C,ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01490
ISSUED: 12/17/2004
. APPLIED: . 12/06/2004
EXPIRES: 06/17/2005
VALUE: $ 50,000.00
.
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
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
~~--
Owner orfco,6.ractors S,,"nature
Pa2e 3 of3
l~~/
Date .
225 Fifth Street
Springfield, Oregon 97477
541-726-,3159 Phone
Job/Journal Number
COM2004-0 1490
COM2004-0 1490
COM2004-0 1490
COM2004-0 1490
COM2004-0 1490
COM2004-0 1490
Payments:
Type of Payment
Check
12/17/2004
RECEIPT #:
Description
Building Permit
Vent Fan
, -Mechanical Issuance Fee-
Boiler/Comm Over 50 HP
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SPFD SCHOOL DIST 19
1200400000000001758
Check Number
Received By . Batch Number
djb
33590
-'
Page 1 of 1
City of Springfield Official Receipt
velopment Services Department
Public Works Department
Date: 12/17/2004
11:50:17AM
-'
Amount Due
370.65
6.00
10.00
75.00
31.62
45.17
$538.44
Item Total:
Authorization
Number How Received
Amount Paid
In Person
Payment Total:
$538.44
$538.44