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Home My WebLink AboutPermit Mechanical 2002-2-25 '" ;.-- SPRINGFIELD ~- 225 Fifth Street Springfield. OR 97477 .' . I Job# 02-00209-01 I Page 1 of 2 TRANSU:01-0008123 DATE:FEB 25 2002 AMT RECD:2 $ 114.65 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00209-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1941 Laura St Spr Assessors Map#: 17032710 Lot: Block: Addition: Owner: Address: Tax Lot #: 02600 Subdivision: John Hyland 1941 Laura SI. Phone Number: 541-726-8081 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical New Way Electric Inc 51088 6/27/20~ Po Box 21503, Eugene, OR 97402-0409 '\r\'C.~O?< i'i Mechanical Contr FM Sheetmetal . 8971%",~\?'C.f 'i'-~tif,5'i'l.~~3 544 Conger, Eugene, OR 9a~\~!:~~Sr\fI.~?'\r\\S~~~'C.\)rO? ~c, ....". l5S-' \.l'~- 3p..,,{; o c"'~~ OW:' p.l Land us~~:",,~'C.~C'C.\) ~'C.?\O\)' # Of Buildings: Zoning CQ{jfI~' \'O()\)fI.'l Occupancy Group: Bedrooms~~'l Heat Source: Range: Sq. Foolag!!t _'Joe .... v.so- ~ \j\W~ J ~ To request an inspection call the 24 hour recording at 726-3769. All inspectiO~fu.reque;;;t@lB~\9r'e')Y:O_O a,m. will be made the same working day, inspections requested after ~;e,Q:a\n\~iU\&i~~dl\1!j~61i6w~ng working day. ,'i'i\O"".oo<v\eO 'fIOsel\) ~Ofl.? I\)\es '0 . I>.~€'~ ,leSa: ~'AI.'\_.,,\o\)~ ..,,\\'fIe ~",o{\e . Required Inspe~lonSI.JJ ""'V o"'v- '\,W', "-.\'..f. ,_"v _ ~\O\!... 1:\...."" '{\C'~ .\'fIe' ~\\\c~ I Elect~fcal:\C~ ~ o'J\~\ \~o\e' '~\\':l ~o ~ - Prior to cover. ~ 01'1 'lo\) \II\): c0{\\el'eQ,o{\ \j~Z'?.y.A . - When all.electrical work is comp~()'~\\{\Q, \'fIel \'fI0?\ .9:<:0.'0-':;- r.\): .-ffi\O el's I Mechanicaln\)\IIv'l Ge{\\ - Prior to cover. -When all mechanicai work is complete, Contractor Type Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Rough Electrical Final Electrical Rough Mechanical Final Mechanical Pre fabricated paint booth installation OK'd per TM Contractor Registration # Expiration Date Phone 541-686-2365 541-344-6002 ; . I Job# 02-00209-01 I . Page 2 of2 --- Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 02/25/2002 8123 02/25/2002 8123 02/25/2002 8123 02/25/2002 8123 Value/Quantity Fee Amount J Minimum Electrical Permit Fee Branch Circuits W/O Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 2 $.00 $46,00 $3,22 $3,68 $52.90 Minimum Mechanical Permit 8% Administrative Fee - Mechanical Vent Fan to One Duct Mechanical Issuance State Surcharge - Mechanical Total Mechanical Mechanical 02/25/2002 8123 02/25/2002 8123 02/25/2002 8123 02/25/2002 8123 02/25/2002 8123 1 $39.00 $3.60 $6.00 $10,00 $3.15 $61.75 $114.65 Grand Total 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. c;:.s-r . ~ ~-cl.<;'-o~ Signature Date '. '. . c>Z-OCiC:o'T-oI ~:t\mll -' 'LEGAL DESClUPTION (70:?" 2-7/0 OZ(;O() , The following project as s'ubmitted'has the following , ,JOB DESCRlPTIONzoriinlj and does nOl, require sPfMi5 !'/f.fI.'li'l'less' , 2.. c ( rz..GA:_~proval ", U--I,', Each'additionalSOO , . Lvrlln\j . . , ,- " '-< Oz... ::JY.. J.l U! PUJ.UUll Pennits'are ion-transferableandltll\lir. ,1/ ;' · 'ae-: , " if work is D.o'/;!started within 180 slilN~onzed Signature ,CK.,J Each Manufd Home or of issuance~' work is suspended for' ' , ' Modular DwelIing 180 days. ' ' , , Service ar Feeder 'B. Services oi-Feeders' Installation, Alter Relocation: ' t90" , :39N. 1j9'ti (;00(;, IZ\:81 .".; ",,~," "'" 52 12-, 225 FIFTH STREET SPRINGFIELD, OR 97477 BUILDING tvI0YING PERMIT (541) 726.3753 COMMUNITY SERVICES DIVISION . FAX (541) 726.3689 CITY ASSIGNED JOB NUMBER:' on ~~ 0_ Structure Being Maved Fram: \C\"\\ ~(\n(\, ~()ot Cit~: ~'\~i(\~~old Lane Caunty Reference Number: \ f\\)~\[) Tax Lat Number:' D ~\orYJ Structure Being Maved Ta: ,~\..o .t\\t\Cll~lL ~tb~ I Lane Caunty Reference Number: \ '$)J'd-\ 0,.\1\ Tax Lat Number: lt1()(J<?l ,City: - Building ~wner: ~,~ \,~~~ rd-; ~ \> l\l,'\\ Mailing Address: \. \J h \ ~ M \O$~ till ' ~ MavingCantractar: \\\\~\JJ ~'f\Cl~ Canstructian Cantractars Registratian Number: nh'?}\ , Mailing Address: f(~~ u.") ~'\W\ k~~\~O_, City: Y l.)(l~{\ Q State: M- Zip: C\l~~ PIUmbingCantractar:('\\\\~[) ~~() .ilh~~mber: ?M.'6~~~ Canstructian Cantractar~ Registratian Number:_c,.:~Q~\)~~ r.fl ~'\~~ ~(\~ Expires: 4.? n - c\.2:) ~ /(,.'~' ~ ~J ,:l .....V '\" ~ <,0. q.' 1!1f\.8J'f- f\ lo MaV~~C;S}~"'~~~~~'V" Maving Width: rl ^ \ # a~e~i!l~s ~g~e~~ r.).. Type .of Canstr: V IV Living Units: -<.:: ~~~~'V~ Value afStructure(s)~ ~() Cf'{).00 PrapasedDateafMave: '\l.~\. \~\ \C\~~" Beginningat: \O'.O(~ Bpm CampletianDateafMave: .....\\t\l\;1 \'?)\ \Q.C\'l Endingat: \~'()()~m/Pm Descriptian afPrapased Raute (Please a/Jch map with raute .outlined with directianal arraws): ~4;\ ~rl\., b:.rl:'A f\'{\ %u.n(\- \ II Q ~\ ,20. ts\: I'r\ f.( 0\'. ~ ::t.(\(\ \JMV\ (\'(\ ~r<\ -\i) "\ ~t.r).ooj~ll)& rtt nf\ .--r"')~\ "Q'~i .~IJ~ htM,\ ~,~ +tl ~, , NOTlFICA TION OF McYvE: The Cammunity Services Divisian will raute ca~s .of this applicatian ta all appropriate divisians, departments and agencies. Hawever, the applicant must cantact praperty .owners if trees are invalved in the prapased mave, In additian, the applicant must secure the appraval .of all apprapriate municipal, caunty and state autharities shauld the mave .originate .or terminate .outside the City .of Springfield, or alang any street awned by the state .or the caunty within the Citys baundaries. P.~ane Number:. \_Q <{) , ~ ~ 1() .~:. . Cell Phane Number: ~ Zip: o.f'M'I.-/ State: PhaneNumber: 'A.1A.~~ Expires: '\ .tSQ9; Cell Phane Number: Descriptian .of Building ta be Maved: Square Faatage: \ \ 0\ cPr. A~I Height an Dally: Square Faatage: PLANS, FEES, AND CHARGES: Priar ta receiving a permit ta mave a building inta the City .of Springfield, the applicant .or their representative shall: ., Submit twa (2) capies .of site .or plat plan far new site, . Submit twa (2) capies .of the faundatian plan far the relacated building . All applicable permit and system develapment fees shall be paid priar ta any maved . Any applicable permits and inspectians far sanitary sewer cap .or septic pump and fill By my signature belaw, I certify that the abave infarmatian is true and carrect, that all required cantacts have been made and autharizatians .obtained. I alsa understand that the minimum time ta process this permit, because .of the number .of agencies natified by the ' .of Springfield, is seven (7) warking days, . Signature: _ 1\L?-{ m~raJol, Date: '7- (/ - 11 6JCf)& ~-n()0. \0 ~ ~\ '1,\t1'C\~. \0 ~ ~Cffi.\>WLcO \...J~ w',OO 0-fY'\-. (j'(\ '\\W 'S('uV'L 6~ . \\.w\\;'\~ \).)\0:\-'<\ Ltl \~'lo". -, . . F~undation/Site Plan'Stibmitted?\\'~ f) Approved? Foundation Permit Number: G\f'\ (}\~ ~ I. ~ Moving Permit Approved By: ~[)(\, ~ffiI7./ DatelO.3) ,0. '1 - ,~.. - Engineering Division Report: Owner(s) AND Contractor(s) are both responsible for any damages to private or public property. Moving Permit Approved By: 11___~ SV- Date: t,;. 30 - 97 Traffic Division Report: Contractor is responsible for a safe, efficient relocation operation. All signal systems shall be monitored to ensure they are functioning properly. Any damage to or malfunctions of the traffic signal system shall be reported immediately to Gary Week, Signal Technician, at 343-4902 or Gene Butterfield, Maintenance Supervisor, at 998-3667, /...ow Ar Sf &V1'tZ- (0/ I /vrP'd:...a ;VNG-r M~ N€rJJS J1) .dtZ:. ;e~SR7 Moving Permit Approved By: ~ Pf-lK- !m-:C;r/ LQ. rY3-! U Date: 7111'97 I I . Historical Report: , " Y, Moving Permit Approved By: Date: .' . ~ " , " Required Inspections: ~, ~ '<,,:,"... An inspection of the property is required,at th'e following indicated stages of this project. . . ',~:- ~ 'j{ ,,}' . ,- P.r,': ./).... ~ V ~ Sanitary Sewer,pipP'~.d( , _ Final Move Capped within 'five'{5) To be, made once structure has been of the property fike ~ith moved from site and all debris has been approved materials. removed, _ Septic Tank Pumped and Filled A Certificate from a bonded! registered contractor will meet this inspection requirement. To request an inspection, please call 726-3769. Inspections called in before 7 am will be made the same working day, inspections called in after 7 am will be made the following working day. Please leave your City designated job number, job address, type of inspection and when you will be ready for inspection. FOR OFFICE USE ONLY Zone: \f\L Flood Plain: Type of Constr: \llJ Occy Group: \{~ Application fee Moving Permit ::\ Sanitary Sewer Cap/Septic Pump and Fill (~~) 5% State Surcharge 3% Administrative Fee Subtotal $ 18.00 $ 60.00 $ 15.00 ,75 .45 $ 94.20 $- $ $ \0.1.00 $100.80 Total Bloc~.. $,60 per block ~W ~Il- (\W\ ~\\ \ TOTAL (if property does not need the sanitary sewer capped or the septic tank pumped and ~ deduct applicable permit fee) Date Paid: f\\\.cf\ Receipt Number: A\()\n~l By: ~ ,