HomeMy WebLinkAboutPermit Miscellaneous 2010-6-4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00692
ISSUED: 06/04/2010
APPLIED: OS/28/2010
EXPIRES: 12/04/2010
VALUE: $ 5,533.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 525 66TH ST
ASSESSOR'S PARCEL NO.: 1702341403800
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Replace heating and cooling system
TYPE OF USE: Repair
Commercial
D.gwnspou ts/D rains :"_?(!~;;'"~t[t~Sf{:W,<~~;I.,:i'':;'~'''~ .
NOTICt: ' E lFlKEWORI<
THIS PERMIT St\Al~ ~~ PERMIT IS NO~i;
AUTHORIZED UND~ ABANDONED FOI\<>:;\
ANY 180 DAY PERIOD,"'"
Owner: LATER-DAY SAINTS
Address: 50 EAST NORTH TEMPLE
SALT LAKE CITY UT 84150
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
HENDRIX HEATING & AIR CONDITIONIN 95758
BUILDING INFORMATION ~
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range'Tyiie': ' ,
# of Bedrooms:" 'Energy'Piilh, '
, SIi'Dkled:BuildiUg: n/a
, .1" ...- ''''''is 'lO
d!lffie .: -'-e-~
:'IOWnalOOadoptecibyth TINFORMATION ~
.......catlon <:Goter. Those 1
....u.. ^""~1..oo10through OAR 952.00 .
Front yard Set4ll.QAR ""'" obtain ooples of th~ist:
Side I sethack~i;:U~. (Note: thetelEIPbRQIlt Trees Rqd:
Side 2 Setback: IOUIIIbllr fo1 the oregon Utility Not~rive Rqd:
Rearyard Setba~'---center III 1 800 3a2.2344)wo of Lot Coverage:
Solar Set hacks: ' '
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Speciallustruction:
Notes:
'''<I. l. n.
Description
$ Per sq'iFt '''? ':" ': ' Square Footage
or multiplier :r:~~ ,.:~ "Of Bid Amount
Tvpe of Construction
Paee I of2
Expiration Date
01/27/2011
Phone
541-753-6760
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:
Sidewalk Type:
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Mechanical CII Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical- Value
Total Amount Paid
,,< ';.
$1.00
Total Value of Project
Fees Paid _
f)-~l'f ' /~i..TR'" ..' r "
,"',":",'
Amount Paid :"".t.
;i;!~'>'ir.J
$11.64,: .
$4.85
$97.00
,'1/
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00692
ISSUED: 06/04/2010
APPLIED: OS/28/2010
EXPIRES: 12/04/2010
VALUE: $ 5,533.00
5,533.00
$5,533.00
$5,533.00
OS/28/2010
6/4/10
6/4/10
6/4/10
Receipt Number
2201000000000000635
2201000000000000635
2201000000000000635
, ...:
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.
$113.49
I Plan Reviews ~
,',".
,
ReQuired InsDections ~
Rough Mechanical: Prior to Cover
t,I;'
Final Mechanical: When all mechanical woritti!tcorliplete:..
"... , . t"
'f-!it!. .
"
By signature, 1 state and agree, that 1 have carefully\;xa-mined'ihe completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 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 onstruction.
#~ f
Owner or Contractors Signature
i
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Date
225 Fifth Street
SprJngfiehl, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
22010000000000~0635
Date: 06/04/2010
II :50:44AM
Job/Journal Number
COM20 I 0-00692
COM20 1 0-00692
COM20 1 0-00692
Payments:
Type of Payment
CreditCard
cReceintl
Description
Mechanical-Value
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
CARLA KAMINGA
,",'
Amount Due
97.00
11.64
4.85
$113.49
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
314094 In Person
Payment Total:
$113.49
$113.49
.: "
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Page I of!'
6/4/2010