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Home My WebLink AboutPermit Mechanical 2005-3-14 . . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00289 ISSUED: 03/14/2005 APPLIED: 03/14/2005 EXPIRES: 09/14/2005 VALUE: Status Issued SITE ADDRESS: 2095 LAURA ST ASSESSOR'S PARCEL NO.: 1703271002117 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Gas piping. Owner: Address: CROWDER JOHN W & NATALIE G 300 D1BBLEE LN EUGENE OR 97404 , Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor ",i!- -<. License AMBASSADOR P~llI!G:INC 121469 ~",<:-V,I ~imILDlNG INFORMATION I ~} ~~ ... # of u"Us: ' ~~ <<.<<; if # of Stories: , ,01<:\ Lot Size: Primary Occupancy Group: <S .j? ~\j Height of StrJct~re ...O~$- 0;P "Sq Ft 1 st Floor: Secondary Occupancy Group: .f;" '?;-'" ~"?' Type of Heat:' ~q,'" ~ i:;::,i::> S~ Ft 2nd Floor: Primary Construction Typ~ c:f ~<<; f'-::J "?' , Water Type: q,~ ~q,~ ~q,<d fD<l; t-S'~Ft Basement: Secondary Construct~ Type:~~~" ~<::) Range Type: ~" q,O q,<o'li ~Oj ~ Sli f.,~GarageJCarport # of Bedrooms: ~ ~~ ~ \j <<.~ Energy Path: ~,'Ii.os',~ O,,?,;;s-q, 0q:S~t Other: ....I:::J f'-::J<<' ~1! _-if ~ Sprinkled Buil!y~j)\ ~'b >>~~~ ,?i} ;.eccupant Load: ~ ........: _ '" ~ ,-- ('\. F4.0 rn .';'..0 ~o ,.0. ....flJ .:::::.,,0 _ _ "'-$>~~'$ , DEVELOPMElSJ'I'NfORMA1j-ION"l:~~'!f" ~# ~~~~~~~~ "?' <-"i' ~ C; s::," <f! 0" &.? O!'t"r)'!fo D~!li<::! rf. 'b~ O...f/; ",q,<::! #~(#k'(ree$'Kqa:<uG:<::-0 ,~ pav~~' ~Rq'lj:.os' &~ i" . . ' ",-0, ~ r::> v. 0 ~t _ e!'.~be;Q CJf/; <::! ,,'Ii ~ _v I PUBLIC IMPROVEMENTS I Expiration Date 03/27/2005 Phone 541-726-5723 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 ,l . . CITY OF SrKJ1~u..mLD Building/Combination Permit PERMIT NO: COM2005-00289 ISSUED: 03/14/2005 APPLIED: 03/14/2005 EXPIRES: 09/1412005 VALUE: Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.~, Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $4.00 $41.00 3/14/05 3/14/05 3/14/05 3/14/05 3114/05 Receipt Number 2200500000000000290 2200500000000000290 2200500000000000290 2200500000000000290 2200500000000000290 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. I ~r'n:\Wirp.d Insnp.rtl'W Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Mechanical: When all mechanical work is complete. 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 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 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 constructio ~/_-) 3- FI-os Owner or Contractors Signature Date Page 2 of2 . 225 Fifth Street , Springfield, Oregon 97477 )~541-726-3759 Phone . 8P-~A~~~FI~ _ n_ _0..,.... Wit- , o. , .. . - -" , , " j - " ~-~.- Job/Journal Number COM2005-00289 COM2005-00289 COM2005-00289 COM2005-00289 COM2005-00289 Payments: Type of Payment Check 3/14/2005 RECEIPT #: 2200500000000000290 Description Gas Outlets 1-4 Minimum/AdjuSbnent Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By Received By AMBASSADOR PIPING, INC, jmp Page I of I Check Number Batch Number ~y of Springfield Official Receipt .elopment Services Department Public Works Department Date: 03/14/2005 Item Total: Anthorlzatlon Number How Received 8431 In Person Payment Total: IO:43:09AM Amount Due 4,00 41.00 10,00 3,15 4,50 $62.65 Amount Paid $62.65 $62,65 "01" ~ ~."O~ ;0". ~ ~ Ot.'~ ~. \9-:" .,O'~ ","'~ (6) 9:' "' "" 'lj, ~? 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5 ELECTRI(;1,L PERMIT APPLICATION City Job Numbe(LYYl2()7)5 -Q'X);;J.'5 Date I-I D- ~i'lI1S 1. ~~'Th;)0i~" '-'6fi!bTilfNStlA.'1~1>4<~~~<ill ~im5 W'1.'~""".""''''''''''''-''''.r-.c.~..i; , 'Ui2I J ~ (].u.Jl~ 5\ JOB DESCRlPTION 1000 sq, ftTOi'C1eSSlON: Oregon law reguire '\ i ^ Each additional 5-O(1)~qafl<:9-rted by the Oregon 5"'f\:S~ Q ^-- d-~f\gu ') f'1\e .A\:'~S q-- portiO~!~~fltion Center, Thosfl rulflS Are e tlll ~C~C -~ ~~~~y Perm,ffIa.leilon-tians crable and expife'1fw6rk is Each Mt.lr!;)~~Hl!H'<iOO15P01 0 through OAR 952. 1. not started within 180 days of issuance or if work is ModulaiHMllleli{agt $llilY'dllolain copies of the ~~J:i Suspended for 180 days. Feeder calling the center. (Nv;". ;I,,, lelepli'oile 2 tT;;em!![4W!l%li~~.!!'f4tifi!J'.N;.oN.iJY~ B. r~s~'fVi'c~C:;~~~i'r~~r",~',,~;wl\'li.~~.lc~J{(i~_ . ~.3"'::!Mn: " .1 ~I. I . ~~r.d..g ~it'.,~.~...."Ilot~;if.:'E~~_ 'UPb.~ii:-filI Electrical Contractor t a- S [k('h'C'..--/ Me.-. 200 Amps or less ;;) $ 63,00 \ Uf c.:rv () C? _ ) 201 Amps to 400 Amps $ 75,00 Address yf) a/X I.f~d 401 AmpSl0600Amps $125,00 ~ (, _ /) 601 Amps to 1000 Amps $163,00 City Y/()1jJC!fJ Phone 7CJ/--;;r;;;30 Over^I,O~2.;\.;'!psNollS $375,00 J Reconnect Only: $ 50,00 1T';.~,~"~.~:~f:!I,.8.~~~.Jl!Il3E JE. ;tjF K c. {.r.'. .€.'mp..~trl~Y Se~\YJS~f.R!~~~~_~ -' _ , ' r.OMMENCED OR IS ABANDONED FOR I nstalIa tlOn'LM tera tion,orl ReIoca tion I\IH I aU Ui\l t'tt1 Ul1, , 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69,60 401 Amps to 600 Amps $100,00 LEGAL DESCRIPTION , , n3> ~I l l5D d- \ II Supervisor License Number LJ<l9ljS ) 0 -() j -D'l 3<gLjc; q -j- ()B' Expiration Date CanstI'. Contr. Number Expiration Date :sa::z;gE:4a 11. , Owners Name .....\ (O\--'-'(\ Go J"iLDct..e.,V Addressct aC\ S LclLl/li'Z.L. "CS\ City ~t,~ GL Phone gL.j-4 -0105 OWNER IN'ir ALLA nON The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726.3769 . ." Over 600 Amps or I 000 Volts see "B" above, ~. ,'~':e:-1f!:~'~~'ii:i~''''.~:{.I:'~ - .~- "" 'j\ ~~.'" ';m' ~_"r:'~' D. BI~anclr..G1rcult~",~t:'1l,.. ~" 1 , ," !'lo'l.,'. t. ~.mtm1.r.:J,:~~" - . .' ~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3,00 (., va :;:t. $J;!~lt4"j"""i~,;Jt !Ti'~~i!'>'~"'-::~:'*~1-r.~\1!~!tf1r.f~w""i:fa""":~7"'~ E, ~~,~!i~,~9}~nJ,?l\~ :\Ser,\1ef{f~~~~3&~.\t.~~~~~n~~t'M1.i Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 7% State Surcharge 10% Administrative Fee 3>~, ~ 1,:{'-l ( 1." :;:) ~ 5 Lj ., '-f '-{ TOTAL Shared Drive(T:)!Building FormslElecuical Permit Application l-03.doc . . Ll1 t' OF SPRIr\i\.J1<lJ:!.LD' Building/Combination Permit PERMIT NO: COM2005-00025 ISSUED: 01110/2005 APPLIED: 01107/2005 EXPIRES: 07/10/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2095 LAURA ST ASSESSOR'S PARCEL NO.: 1703271002117 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Install two new meters and 1fI~1NO~/l)p\i)/I.eJ~btIaW~~if6~) follow rules adooted bv the Orecon Utilitv Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001. 0090. You may obtain cooies oi the rules bv calling the center, JNote: the telephone I CONTRA~1I0RJNiFO~Il~\.ltility Notification Center is 1-800-332-2344). License ExpIration Date 3849 09/01/2008 Commercial Owner: CROWDER JOHN W & NATALIE G Address: 300 DlBBLEE LN EUGENE OR 97404 Contractor Type Electrical Contractor C & SELECTRIC Phone 541-741-2236 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Rapg~Ty'jif:: l?g:I\~P,'l:fl{gcJCarport Ene.gy:Path: MIT SHALL EXPIRE IF lS'q'Fl Otlier: Spri~kJ~d'ii~ilding~NDER 110';;; PERfI'oc~1>~\H Load: t\u IIIVllll-....... _ _ ..... .. n,.. ",1r\(H,ICn t:n~ '" 'n..""~"" ._" "., ... . ....."._ _ , uM J',LOPMENTJNFORMA'fION I ,,,,. .-- REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslOrains: Notes: , I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square' Footage or Bid Amount Value Date Calculated . Total Value of Project Page I of2 .' . . CITY OF :st'K11~GFIELD Building/Combination Permit PERMIT NO: COM2005-00025 ISSUED: 01/1012005 APPLIED: 01/07/2005 EXPIRES: 07/10/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'~. P~id I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $13.20 $9.24 $6.00 $126.00 1/10/05 1/10/05 1/10/05 1/10/05 2200500000000000031 2200500000000000031 2200500000000000031 2200500000000000031 Total Amount Paid $154.44 I Plan Reviews , 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. ~eauil:e~, 'r~?f'~t\\1~ I Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover By signature, , 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 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 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. 0,~ ~~1- ~ 1- 10- OS ~r- Owner or Contractors Signature Date Paee 2 of2 I > }25. Fifth ~tr~et . f Springfield, Oregon 97477 541-726-3759 Phone a"~~fN~~~' __ __.. j ~. , . , , . '.,: . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200500000000000031 Date: 01/10/2005 1I:21:33AM Job/Journal Number COM2005-00025 COM2005-00025 COM2005-00025 COM2005-00025 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard MELISSA GEHRKE Item Total: Check Number Authorization Received By Batch Number Number How Received njm 301008 In Person Payment Total: Amount Due 126,00 6,00 9,24 13,20 $154,44 Amount Paid $154.44 $154.44 1110/2005 Page 1 of 1