HomeMy WebLinkAboutPermit Mechanical 2011-1-25
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00120
IVR Number: 811156764954
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/25/2011
ISSUED:
APPLIED:
01/25/2011
01/25/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm"rtcenler@ci.springfield,or,us
EXPIRES:
VALUE:
07/24/2011
$0.00
SITE ADDRESS: 1175 G ST, Springfield, OR 97477-4109
ASSESOR'S PARCEL NO: 17033511038QO
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Run gas pipe from meter to furnaces
Phone Number:
OWNER:
ADDRESS:
1ST BAPTIST CHURCH
842 N 5TH ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical Contractor
Contractor Name
MARSHALLS JNC
CONTRACTOR INFORMATION ~
lie Type
eeB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# 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:
Lic No
25790
Lic Exp
12/23/2011
Phone
541.747.7445
lot Size:
. Sq Ft 151 Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FI Garage:
Sq FI Carport:
Sq Ft Other: 0
Occupancy load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Ro'ljliira.i!TION: Oregon law requires you to
tallow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952'001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344):
NOTICE: . "'..'
THIS PERMIT SHALL EXPIRE IF THE WORK
~Ul HORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR .
ANY 180 DAY PERIOD.
Springfield Building Permit
1/25/2011 2:26:44PM
Page 1 of 3
..
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00120
IVR Number: 811156764954
225 Fifth St
Sprlngfleld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
01/25/2011
01/25/2011
EXPIRES:
VALUE:
07/24/2011
$0.00
01/25/2011
SITE ADDRESS: 1175 G sT, Springfield, OR 97477-4109
AssEsOR's PARCEL NO: 1703351103800
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
Run gas pipe from meter to furnaces
DEVELOPMENT INFORMATION'
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
Tvee of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
l
Descriotion
Mechanical Permit fee (based on value of work)
State of O_regon Surctla..rfl_e.L12% of applic~~le fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid Date Paid Recio! #
$98,50 01/25/2011 2011000161
_._-_.~
$11,82 01/25/2011 2011000161
-$4:-93---------01i25I201i---- ---201'iao(ii61-
$115,25
Springfield Building Permit
1/25/2011 2:26:44PM
Page 2 of 3
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00120
IVR Number: 811156764954
www.ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
01/25/2011
01/25/2011
Issued
01/25/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci. springfield. or. us
EXPIRES:
VALUE:
07/24/2011
$0.00
SITE ADDRESS: 1175 G ST, Springfield, OR 97477-4109
ASSESOR'S PARCEL NO: 1703351103800
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Run gas pipe from meter to furnaces
Plan Review
I
DeDartment
Application Acceptance
Received Due Date ComDleted Result
01/25/2011 01/25/2011 01/25/2011 Overthe Counter
Mechanical Review
01/25/2011 01/25/2011 01/25/2011
Not Required
Comments: Over the counler permit
InitiaLR~eview:; ,;..,. ""~'~!01125/20H" -01/25/201 f,bOJ/25/20fi~' i5Ver the'Cbuntert.: "x :'
;?>.n~"':- ~~, C-, ," ( ._<, 'jI"~~'i"-.~4,"; ."-'~ ..': tJ' '\,",^::.s',' ",._ '{"..,~b:;',:. .
, C'ciinm~e;;ts: i- Overthecounler;permit~ ',- :;;_., ~2,,~~-_ -_...{' - . <"" 'J ~"!: ' " :" -\' :; 1"~ .
,--- -', ,"',,- .- - ""-, --- - .:hi-' - '__;'~':...-J4z " -. .. ,
INSPECTIONS REQUIRED I
Inspections
2250 Gas Piping
Reviewer
David Bowlsby
David Bowlsby
:9~Vid'BowJsby~~-~,~~:::- ~'
~ L,:'i~~~_~:1~~~}r:-~'-~:~:: ",,~.__",._~ ~'
--,
-I
"';;,;..-~-;
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 ORB 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.
/-~s-//
,
Date
Springfield Building Permit
1/25/2011 2:26:44PM
Page 30f3
I. ..
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00120
1175 G ST
CITY 0.1' SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permitcenler@cl.springfield.or.us
RECEIPT NO: 2011000161 RECORD NO: 811-SPR2011-00120 DATE: 01125/2011
iDESCRIIUlON' ,;.,';' ''',' '...' ':," .w"~V?~2f:;,<'1i.',~,,;;r;,., <:,c);\cco(,iN'T;'COPE"T4, "",'~';,t"AMOUNtDUE . '<~"i
~.::chanical Permit fee (based on value of work) 224-00000-4.2..5~~___.__ 98.50
~~te of O~~ Surch~rge (12% of applicable fees) _~21-0~15004_____ 11,82_,___.
---27chnology fee (5% of permit total) 100-00000-425605 4.93
TOTAL DUE: 115,25
8~iMINT -TYFlE'%;";:'"'J'pAVQB,'-i'cASHIER:DSOWLSBY;;A7iJ';':,::iC.9MMENTSIt''F7.:,f:,''-. ;, ~"', A~Ol!.N.lPAlp.:': ,~~:\~::,:::d
Cash First Baptist Church 115,25
TOTAL PAID:
115,25