HomeMy WebLinkAboutPermit Building 2001-1-5
;,.....,,~~:-;'.-..-.- ~ ~
.~
..;j
" - ~. "'1.
I ,- ,I - '--J.
- ~
o
,-
.
f .' ========================================
I
I
.-.-
CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
. (541)726-3753
----------------------------------------
----------------------------------------
WELCOME TO DEVELOPMENT'
SERVICES AND PUBLIC WORKS
----------------------------------------
----------------------------------------
REG-RECEIPT:Ol-00041BB C:JAN 05 2001
CASHIER 10:059 3:2B pm A:JAN 05 2001
----------------------------------------
----------------------------------------
1002 BUILDING PERMIT 6r~ $44.50
'JOB#:00-01746-01 ~'
. 1099 STATE SURCHARGE(7X) . $3.12
JOB#:OQ-01746-01 ,
109B ADMIN FEE(3X) ,c:.;:r- $1.34
JOB#:00-01746-01
-----------------
TOTAL DUE .
). RECEIVED FROM: .
,CAVU CONSTRUCTION
CHECK:
CASH:
$4B.96
....
$44.50
$5.00
-----------------
TOTAL TENDERED $49.50
-----------------
CHANGE DUE $0.54
---------------------------------------- ,
----------------------------------------
I
*Pay Name :CAVU CONSTRUCTION
*Mail Addr :4100 MCDOUGAL LANE
*Cty/St/Z' :EUGENE OR 97402
*Site Addr :4190 FRANKLIN BLVD
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
. . THANK YOU!!!!!!
----------------------------------------
----------------------------------------
,
--- -~'"" ~-~. ,
,I
.'
!; ~
'~
.
I Job# 00-01746-01 I
.
Page 1 of2
TRANS#:01-0004188
DATE:JAN 05 2001
AMT RECD:2 $ 44.50
1 $ 5.00
CHANGE:$ 0.54
CASHIER: 059
~
CITY OF SPRINGFIELD, OREGON
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01746-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4190 Franklin Blvd Spr
Assessors Map#: 00000000
Lot: Block: Addition:
Tax Lot #: 00000
Subdivision:
Owner:
Skillern Investments
PO Box 714
Phone Number: 541-746-8601
City/State/Zip:
Springfield, OR 97477
Value: $5,500
Address:
Scope Of Work: Mechanical Alteration
Install gas radiant heating in auto shop
Shop ceiling shall be insulated with minimum R-19 insulation & heating system shall have
m'lximllm !:At nnint ....:m'ldtv of SS nAorAA!: F.
Contractor Type Contractor Registration # Expiration Date Phone
General Contr TWM Contractors I~TTEi'" C '._ '3iF' ;2" -:<:;L::OS 'i~t1-689-4985
4100 McDougal Lane, Eugene, OR 97402 follow wier :ldepteci)\1 thE Oreaen Uti;jl\
Mechanical Contr James Heating l\Jollllcallur, Cem';], Tnosl' rules clre set te::
115 Lawrence St, Eugene, OR 97401 In OAR 952-D01-001CllhrougtJ OAR 952-0D
0090, You mav obl8m cnnl"lC nl th" ""0< ;-,
calling trIec&nter, ,!\lOlS. ~f13telepholie -
nurnbl3rior th2 Ore!:1f">r.' 'li[h'.Notification
('".,/r.. '., . ,!W.f ~'!.I,I~I:'1l!r
Occupancy Group:
Heat Source:
Sq. Footage:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
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
working day, "JOTrCE:
R 'dl tTHISPFI=lMITCW^,' r:"VM'M~,~~.._..,__.
equlre "spec Ions -- . ,.-.. .. '.... ...._IIPo
Building .~~TI ~pRIZED UNDER THIS PERMIT IS NOT
Ceiling Insulation -Prior to cover, vVlvllvlI:"'CEDORISABANDONEDFOR
, MlY..t80DAYPERIOD,
Mechanical I
Rough Gas
Rough Mechanical
SUB - Mechanical
Final Gas
Final Mechanical
- Prior to cover.
- When all gas work is complete.
-When all mechanical work is complete.
I
V ,.~.
.. . \~
.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
Fee
Building Permit
Building Permit
State Surcharge For Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Building Administrative Fee
Total Building
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Plan Check Type
Checked By
I Job# 00-01746-01 I
.
Page 2 of2
# Of Stories:
Current Units:
Census Code: Does not apply
Total: J
Height (feet):
Proposed Units:
Paid On Receipt#
Buildinfl
12/01/2000
01/05/2001 4188
12/01/2000
01/05/2001 4188
12/01/2000
01/05/2001 4188
Value/Quantity
I
1,500
4,000
Mechanical
12/01/2000
12/01/2000
12/01/2000
12/01/2000
12/01/2000
12/01/2000
1
2
Date Completed
Comment
Structural-C/I/P Lome Pleger 12/01/2000
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
Signature
Date
Fee Amount
$25.50
$44.50
$1.79
$3,12
$.77
$1.34
$77.02
$2.00
$1.00
$.45
$12.00
$10.00
$1,05
$26.50
$103.52