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HomeMy WebLinkAboutPermit Mechanical 2003-12-15 . . U 1 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01255 ISSUED: 12/15/2003 APPLIED: 12/15/2003 EXPIRES: 06/15/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2000 HENDERSON AVE ASSESSOR'S PARCE~ NO.: 1803032000190 Eugene TYPE OF WORK: Mechanical Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install gas line and heater Owner: FARWEST STEEL CORPORATION Address: PO BOX 889 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor TWIN RIVERS PLUMBING INC License 17695 Expiration Date 03/11/2005 Phone 541-688-1444 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I. DEVELOPMENLINIlO$'lATION I .... ~01\Cf:. Ii S\-\i'.\.\. f.'t-?IR~~~~' \1' IS ~Oi. \-\IS ?E.RWI \)E.\\ ir~er/ay' VO\\ i \,\O\\I1.E.U \l~ S i'.'CIf.,!1iilQ,1j\ ees Rqd: i'.\l~...E.~CE.\)'O\\ I 0" Paved Drive Rqd: CO ,,,,,, '\'{ ?E.\\I u. f>.~'{ 1aQ U" % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ' ""'quIres you to ~'Or""qon \a~~ I v Utility ATTEl'lTIU ' Sidewalk,Type:>rCQon follow IJIs:; adOplt;~,:I,;' "' 'I:~~ are S€)t 1011 ,,' "on C811J!ownspoutslDr~lDs:-, 35';1-00' \lollllcall 1 '010 tnrouCjll.,/,\ll-1 \ ;n OAR 9::i~-01.l -. I't~in COl'):z~ 01 the rll 25 0090. You mL\y 0._ NO;'): thetels~hO~e Callino ,,-2 ~3r",-r. ( Ut'llity NotificatIon OJ ., _ ~,"""nnn "..:...-:~~~... IV_ ~. P.. 1 "n()~~12~~~1t.:-"+I' I Valuation Descriotion I' -~"- '" -, Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . Ll1 1: OF SPRIrlil>-NJ<..LD ' Building/Combination Permit PERMIT NO: COM2003-01255 ISSUED: 12/15/2003 APPLIED: 12/15/2003 EXPIRES: 06/15/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Fp.p.s~ Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Furnace - Unit Heater Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $4.00 $29.00 12/15/03 12/15/03 12/15/03 12/15/03 12/15/03 12/15/03 2200200000000001875 2200200000000001875 2200200000000001875 2200200000000001875 2200200000000001875 2200200000000001875 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. Renuired I nsneetions I 1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Rough Mechanical: Prior to Cover 3 Final Gas: When all gas work is complete. 4 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that 1 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 he 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. ~t~ /7-1/s- joy Date I ( Owner or Contractors Signature Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -.~."q,.~".1!H!. .,,' ' la:l'.."'.."..'.... ."A!;: . ...;., ~ ...,:".,..- ,..".. .....'". City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/15/2003 1:52:51PM Amount Paid 3.15 4.50 12.00 4.00 29.00 10.00 $62.65 Receipt #: 2200200000000001875 Job/Journal Number Description + 7% State Surcharge + 10% Administrative Fee Furnace - Unit Heater Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- COM2003-01255 COM2003-0 1255 COM2003-0 1255 COM2003-01255 COM2003-01255 COM2003-01255 Item Toial: Payments: Type of Payment Check Paid By TWIN RIVERS PLUMBING Received By djb (;heck Number Batch Number Authorization Number How Received In Person Payment Total: Amount Paid $62.65 $62.65 . . ~-c;:..~ t-lew lVz. ~ ~JJ6 I -r-o ~ f.#-JIT HeAT!?'- @. 100 ,WO BrU.: ~ ~~ O"t>-U tt I . L <I- (j) ro~ks @ ISO(~ ~o(. "=- 300{000 ,~ , - - T - - - -:j -roTA~ ~rK... s;-OO,CT'lTO b ~ . ,(fI ffJ~'I:) , " ~ 100' L.,tJeA-.(. . ~-r <STi;::Gt-- 13A-1(' r:(f:-' I '2.~ M~~ If-vG 'GtA.~'G olZE en/.fo"J, , . wt~ ~~- I \ hi1"-- ;).' w;cl-\-h. ik~uI-~ 30- '-\0 \ b~ , TW,I<I ,t.l vetU p~g (AJfr" 12./12-(0 ?