HomeMy WebLinkAboutPermit Building 2000-10-6
I.'r
....
'-
I Job# 99-01604-05 I
.
Page 1 of 2
TRANS~:01-0003419
DATE:OCT 06 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-01604-05
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3660 Gateway St Spr
Assessors Map#: 17031500
Lot: Block: Addition:
Tax Lot #: 01501
Subdivision:
Owner:
Wood Products Credit Union
Phone Number: 541-747-9401
Address:
City/State/Zip: Sprinfield, OR 97477~. ,
'\Vt7t."~6t.~~U""d. l ;.! ..,~+"".......,
Scope Of Work: Commercial New uO!lIlO!I!lON ^l!I!ly.alue:~Jc.$04\ 101 ~ElU~L~~U
W.P.C.U. mechanical changes 8U04d8181 al1l :8l0N) 18lU8J al1~OAI~060(\
gas water heater and emergency gas generator.\q S81nJ 811ll~ ~~~d~~~,U~':~~ I ;~7.C:" HWO U
. ,U\,r""uov~ ~;, <>~n'" ',"LUBQ 'lOllIlOII!\Ol\,
Registratiorif#,8Expii'ation,pate '81nJ ,P.hone
U 6 lQ'3Ll' ^O OdlvUuc' .,.~..-,
1769'S'!ln 0 8,,3/11/01 " ~,,""541-688-1444
~o:. ..;:~" ," .'
P.O. Box 297
,
Contractor Type
Plumbing Contr
Contractor
Twin Rivers Plumbing Inc
Po Box 40397, Eugene, OR 97404-0064
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: HeafSolirce: A'lfOORL ~N'tI
Water Heater: Range: 1-I0:la3No~q~~C?<1..ta9!l:038N3lI\jY\JIl:1
'''''<::1 '1\J\1H=ldSIHL\:l3aNna:lLltlUj-l~""
To request an inspection call the .24 hour ~ecording at 726-3769. Allinspe~t!.~n~ ~~g~!l3!"e9?!!Jor~ ?i~q'f3d c;:., L
a.m. Will be made the same working day, inspections requested afteri7::00Ia:mLwllI:be'maae the'followlng
working day. :3... '.
Required Inspections
I Mechanical I
-After line is installed and line has been connected to a minimum of one appliance. Pressure tel
Gas Service
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
10/06/2000 3419
Value/Quantity
Fee Amount
One to Four Outlets
1
$2.00
j
"..
.
Job# 99-01604-05
.
Page 2 of 2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
10/06/2000 3419
10/06/2000 3419
10/06/2000 3419
10/06/2000 3419
$13.00
$.45
$10.00
$1.05
$26.50
$26.50
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
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 wilhout permission of the Community Services Division, Building Safety. I further
certify that only contractors and employess who are in acompliance 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, that each
address is readable from the stret, that the permit card is Icoated at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
~g~
/0/6 /.?ot!!) 0
Dare I
Signature