HomeMy WebLinkAboutPermit Mechanical 2004-9-24
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Status
Issued
:.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01177
ISSUED: 09/24/2004
APPLIED: 09/22/2004
EXPIRES: 03/24/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2095 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002117
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
PROJECT DESCRIPTION: Route gas piping from existing radiant heater to new meter.
Alteration
Commercial
Owner: CROWDER JOHN W & NATALIE G
Address: 300 DlBBLEE LN EUGENE OR 97404
I CONTRACTOR INFORMATION I
Contractor 'f0~*' License
COMFORT FLOW ,(,. ~_ ""\;;)'\ 460
, ~~ ~ [..:iffiit:DING INFORMATION I
0. 1\'
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# of Units: <;f >>"0 ~ ~.;;;..~ # of Stories: Lot Size:
Primary Occupancy Group: i>' 'Ii ~<:;) Height of Structure Sq Ft I st Floor:
Secondary Occupancy Group:::,~ ~~~ ~ Type of Heat: ,0 Sq Ft 2nd Floor:
Primary Construction~type:~,"<\)~ o.~N",'V, Water Type: ' _\o~ ,~..,gJ Basement:
,'~ .",:< ';v \;;)'- a:,.'V ",'" v'lS
Secondary Consttucn~q'ype:, ~ fV' Range Type: ~({, ~:-.. -Garage/Carport
# of Bedrooms: ~'V~"o Y;-\;;)~'~'V~ ~ ~ Energy Path: 0~ 0<:f 0 ",,0 ~her:
'" ~. ~~ ~ <v Sprinkled Building: ,t\ ~ <nJa ~ no. C/)<O~!!l't Load:
~ _~, .Q.:: ,fli. ~'l'\.0 ,e.~_w~ _~ ,,(f. ^
":~ . I DEVELOPMENT INFo.RiiAY~eN-It--~,Jcl-~'~0~~~v~~
r l.y ..I~!'O ~~....
~,~ O~- -,' :<:!>v ,,-!P ~0 ~O REQUIRED PARKING
o ~ 0\' I:)~ 0'< .~,~ .p.'
OverlaY.ln~:0""'1)' 0~ ,p'" 'f:'V'ii:-O'\.0v~ 9,~ Total:
# Str~<<r~~ ~4d~I:)" &''1)' \, ~ 0<:0 ';)":1'1; Handicapped:
pave'itgtjvt!t\~, <$''I>~ 0~'?iO\0~<oI:)~ Compact:
% of t'6b(!'o~raw '3 v ~0 "
~ o'?' '" '$' \~ ~~
'.s- ,/),0,1:)' .,,<:oCb ,,0 ,<'1:-0 .
I PUBLIC IMPR6\lEM~f~ ( ,
Contractor Type
Mechanical
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Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
1..
Expiration Date
06/27/2005
Phone
541-726-0100
Sidewalk Type:
DownspoutslDralns:
I Valuation Descriotion I
Tvpe of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Total Value of Project
Page 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01177
ISSUED: 09/24/2004
APPLIED: 09/22/2004
EXPIRES: 03/24/2005
VALUE:
c,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.F....s P3id ,
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Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Gas Outlets 1-4
Minimum/Adjustment Mechanicai
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$4.00
$41.00
9/24/04
9/24/04
9/24/04
9/24/04
9/24/04
Receipt Number
2200400000000001203
2200400000000001203
2200400000000001203
2200400000000001203
2200400000000001203
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
~c.
I Reouired Insnections ,
Rough Gas: After line is instailed and required testing and capped if not attached to an appliance.
Final Gas: When ail gas work is complete.
By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify that ail
information hereon is true and correct, and I further certify that any and ail work performed shail be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that ail required inspections are requested at the proper time, that each address is readable from the
street, that the permit c located at the front oflbe property, and tbe approved set of plans will remain on the site at ail
times during constr Ion.
~ 2-/j~"Y
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i. ~r' ;r Contr/ctors Signature
Date
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Suite B
Suite A
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New -f.! 51\'J i
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E:"i~{l~ V'I gA$' N. ,.,...j;.f;CAT'.""S .Jo U:lSf;~ ",..~u.f,-"" -I., ~,,;p~+,
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2095 Laura St. ~MW-t
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2004-0 1177
COM2004-0 1177
COM2004-0 1177
COM2004-0 1177
COM2004-0 1177
Payments:
Type of Payment
Check
"
,
,-
'-
9/24/2004
.
RECEIPT #:
~
.y of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200400000000001203
Date: 09/24/2004
Description
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COMFORT FLOW HEATING
CO,
,
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
jmp 27301 In Person
Payment Total:
Page I of 1
9:42:19AM
Amount Due
4,00
41.00
10,00
3,15
4,50
$62.65
Amount Paid
$62,65
$62.65