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Home My WebLink AboutPermit Mechanical 2010-9-22 .. ;/ www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00352 IVR Number: 811113182430 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/21/10 EXPIRES: 3/21/2011 VALUE: $0.00 SITE ADDRESS: 2422 MAIN ASSESOR'S PARCEL NO: Springfield 1703364101200 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Modifications to hood OWNER: ADDRESS: FITZGERALD KRISTY L 2711 AUTUMN LAKE DR KATY TX 77450 Phone Number: Contractor Type Contractor Name FM SHEET METAL INC CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMA nON I Lie No 89710 lie Exp 03/15/2011 Phone 541-726-3000 # of Units: I o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: '(vv€~-~re-ooa-~ S! 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'JaluaQ UO!IIlO!I!ION ~" UOI5BJO alll,\q paldopll selnJ MOllOj Spe"g'eld ~~~te~~J!nbaJ MBI uo5aJO :NOllN311\1 912212010 9,53,08AM "aOIH3d AVO Oll ~ ANV HO:! 03NOaNV8\f SIHO 03::JN31J\J1J\JOJ ION SIIIWl:l3d SIHIl:l30Nn 03ZIl:lOHlnlf )ll:lOM 3Hl:l1 31:JldX311VHS lIWl:l3d SIHI ,.' :3:ij"lgDN,f 3 .. www.ci.springfield.or.us CITY OF SPRINGFIELD Building 1 Commercial Permit PERMIT NO: 811-SPR2010-00352 IVR Number: 811113182430 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/21/10 EXPIRES: 3/21/2011 VALUE: $0.00 SITE ADDRESS: 2422 MAIN ASSESOR'S PARCEL NO: Springfield 1703364101200 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial '. PROJECT DESCRIPTION: Modifications to hood DEVELOPMENT INFORMA nON ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value ~.~:';^F..~~,., '~?+~~~?"^r~7?i1?:~"Z.--c~--:~~~~~;:~-it~~~~JPAiPj~?~:;'T~A::;:'::.,€~:~~m~~;-C;~T:t~~-,~"h"-:5--:q;:~::~':-~;I" <"~5'. ,Y 1 Description Mechanical Permit fee (based on value of work) Permit Fee Adjustment - Mechanical State of Oregon Surcharge (12% of applicable fees) . Technology fee (5% of permit total) Total Amount Paid Amount Paid $58.00 $21.00 $9.48 $3.95 $92.43 Date Paid 09/22/2010 09/22/2010 09/22/2010 09/22/2010 Receipt # 374366 374366 374366 374366 Springfield Building Permit 9/22/2010 9:53:08AM Page 2 of 3 . S~~~N~~E~ .~~. ~'OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97417 Phone: 541-726-3753 Inspection Phone: 541-726"3769 Fax: 541-726-3676 www.cj.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00352 IVR Number: 811113182430 permitce nter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9122110 APPLIED: 9121110 EXPIRES: 312112011 VALUE: $0.00 SITE ADDRESS: 2422 MAIN ASSESOR'S PARCEL NO: Springfield 1703364101200 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Modifications to hood I"" .~.,.,"..~~.~c. . --', -. . ~ . "".- " . .l"< :........ +' c."' -'/1C; \>~ ..i-d,~ui1~~ ;;~SJ~~ Ay~ikJ;e.t~b]B;:yi~:~~~~," 0~~~~1Ar~:,,~.;:>;~:~rJ7:fA~Ej~;:; _ 'f+:~~:~~i7 '-~"'c::'~!~;:;'~~-~+:!~, 7 '1 ,--~., 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 or 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 "'?j;"lti;ll"';3 J] '"' ~ "-'~' .,,,", .,,, ~." '" 'oo.~.." ""~'""" ~~ I~ ~~A Owner or Contractor Signature Date Springfield Building Permit 9/22/2010 9:53:08AM Page 3 of 3 . " Sr~IN G FIEL;ijD ~}1Ii\_' .": """ ""'::~. I,..~. "~\ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00352 2422 MAIN ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541-726-3753 p~rmitcenter@ci.springfield.or.us RECEIPT NO, 2010000371 RECORD NO, 811-SPR2010-00352 DATE,09/22/2010 rDESGRIRTION(><t7';'';0.<'=---:''::_',>h~i~;-''': ;~-r~;r::: ,,--~.! p"c_C;oUNj~G.QRE'''~r ;'0-:,:.:::c',A]VI@,lJJ:lJJ!lI.!!;"""'<',y,",,,'j Mechanical Permit fee (based on value of work) 224-00000:425604 $58.00 Permit Fee Adjustment - Mechanical 224-00000-425604 $21.00 State of Orego~ Surcharge (12% of applicable fees) 821-00000-215004 $9.48 TechnologY fee (5% of permit total) 100-00000-425605 $3.95 TOTAL DUE: $92.43 88Y.lII1g~J~TXE.!,j!':~:pAY6R'-':0-9bSHIER\NMACHADd '. '" ~QMIVI!,~;1lS;:~""~"';"-,.:~<18MOUNT PAID J Check 5407 FM SHEET METAL INC $92.43 $92.43