HomeMy WebLinkAboutPermit Mechanical 2008-6-12
Status
Issued
225 FIfth Street, SprIDgfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-37691nspectlOn LIDe
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00851
ISSUED: 06/12/2008
APPLIED' 06/12/2008
EXPIRES: 12/12/2008
VALUE:
SITE ADDRESS 2220 NUGGET WAY
ASSESSOR'S PARCEL NO 180303]40]400
Eugene
TYPE OF WORK MechamcalOnly
PROJECT DESCRIPTION 220lf] "gas pIpe for eqUIpment
TYPE OF USE
Owner WILDISH IND DEV CORP
Address PO BOX 7428
EUGENE OR 9740]
Contractor Type
Mechamcal
I CONTRACTOR INFORMATION I
Contractor
COMMERCIAL AIR INC
LIcense
110075
# ofUmts
Pnmary Occupancy Group
Seconddry Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
Frontyard Setback
SIde] Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
Notes
DescnptlOn
BUILDING INFORMATION I
# of Stones
HeIght of Structure
Type of Heat
Water T~fequlles Y~t~~
JiENilON oa~'/ffll Olegon t lort\'l
tallOW lules ad lljJ ~t/ble~ ~~2-O01. /
MntlllcatlOn ~~~ ,,~{o wib!f~ ~. 'ilA rules bY' a
In 06"'r"- ..: '-i~T~'l1iellm.t\.~
009 '~L JIII'l rr.!
calling 101 the oregon ~'12-2344)'
number entER~...~r!ltT
C # Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
I PUBLIC IMPROVEMENTS I
New
CommerCIal
ExpiratIOn Date
]2118/2009
Phone
54]-46]-4821
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
SIdewalk Type
DownspoutslDralDs
NOTICE: EXPIRE \f THE WORK
THIS PERMIT SHAi~ THIS PERMIT IS NOT
AUTHORIZE.? UNO " ~13t.~t'OMEO fOR
I Valua~~~I:~~~1~100. . ..
$ Per Sq Ft
or mulllpher
Square Footage
or BId Amouut
Tvpe of Construcllon
Paee ] of 2
Value
Date Calculated
-iiI .iiii
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Iss u ed
PERMIT NO
ISSUED
APPLIED,
EXPIRES:
VALUE,
COM2008-00851
06/12/2008
06/12/2008
12/12/2008
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees PaIrI .
Fee Descnpllon
-Mech Iss 2+ ApplIances-
+ 10% Admmlstrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Gas Outlets 1-4
Mmlmum/AdJustment Mechamcal
Amount PaId
Date PaId
ReceIpt Number
$40 00
$500
$600
$250
$500
$45 00
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12108
1200800000000000649
1200800000000000649
1200800000000000649
1200800000000000649
1200800000000000649
1200800000000000649
Total Amount PaId
$103 50
I Plan Reviews I
To Request an mspectIon call the 24 hour recordmg at 726-3769, All mspections requested before 7 00
a m Will be made the same workmg day, mspectlOns requested after 7'00 a,m, will be made the followmg
work day,
I RellUlred Insnechons I
Rough Gas After lIne IS mstalled and requIred testmg and capped If not attached to an applIance
Fmal Gas When all gas work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby cerllfy that all
mformatIon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done 10 accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who al em complIance WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, 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 remam on the sIte at all
times dunng construction
p~'tZl k;-
Owner or Contrac~rs Signature
~~L/O~
Dat{ .
Paee 2 of2
225 FIfth Street
Spnhgfield, Oregon 97477
541-726-3759 Phone
~~
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0085 ]
COM2008-0085 ]
COM2008-00851
COM2008-0085I
COM2008-0085I
COM2008-0085I
Payments
Type of Payment
CredltCard
cRecemt I
RECEIPT #,
1200800000000000649
Date, 06/12/2008
DeSCription
Gas Outlets 1-4
MInImum/AdJustment MechanICal
-Mech lss 2+ Apphances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
COMMERCIAL AIR lNC
Item Total
<":heck Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
062] 89 In Person
Payment Total
Page I of]
2542lPM
Amount Due
500
4500
4000
250
600
500
$103 50
Amount Paid
$103 50
$10350
6112/2008