HomeMy WebLinkAboutPermit Mechanical 2005-07-19PRIN
Buildin g/Co mbinatio n Permit
Status: Issued
225 Flfth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fatx
541:7 26-37 69 Inspe ction Lin e
PERMIT NO: COM2005-00929ISSUED: 0711912005
APPLED z 0711912005E)PIRESz 0111912006
VALUE:
SITE ADDRESS: 3609 E 17TII A\rE
ASSESSORTS PARCEL NO.: 1703343401100
PROJECT DESCRIPTION: Natural gas insert
Eugene TYPE OF Heating System
TYPE OF USE: New
Phone Number: 541-7 47 -1845Owner:
Address:
Contractor Type
Mechanical
SAMUEL POHRMAN
3609 E 17TH ST
EUGENE OR 97403
Contractor License
DIVERSITY ENVIRONMENTAL SERVICES 119364
Expiration Date
10t20t2005
Residential
Phone
541-343-1131
ATION
BUILDINC
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm SewerAvailable:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
lollow ruldb
Notification Center. Those rules are set forth
ln OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notilication
Genter is 1 -800-332-23441.
REQUIRED PARJflNG
Total:
Handicapped:
Compact:
'K
)1
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
$ Per Sq Ft
or multiplier
Sidewalk Type:
DownspoutVDrains
Square Footage
or Bid AmountDescription Tvpe of Construction
lof2
Value Date Calculated
t
# ofStories:
Height of
Type of Heat:
Water Type:
ur LEXPtl'rQ\
UNU
\OR
iso ox''PER\U D
lrtt t
Valuation Descriotion
Status: Issued
225 Fifth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Lin e
F PRINGFIELD
Buildin g/Co mbin ation Permit
PERMIT NO: COM2005-00929ISSUED: 0711912005
APPLED z 0711912005E)PIRES: 0111912006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0/o Administrative Fee
+ lVo State Surcharge
Gas Fireplace
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$4.s0
$3.1s
$1s.00
$30.00
$62.6s
Total Value of Project
Date Paid
7fi9tos
7n9t05
7n9t05
7ltgt05
7n9tos
Receipt Number
1200s0000000000r029
1200500000000001029
1200500000000001029
1200500000000001029
1200s00000000001029
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Renuired Insnecfions
By signaturer l 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 certiff that any and all work performed shall be done in accudance
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 OCCUPANCYwin be made of any structure without permission of the Community ServicesDivision,
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 timeo 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.
ffi
2of2
Date
H PAS rar(l I
225Fitth Street
Springfield, Ore gon 97 477
511-726-3759 Phone
Clty of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001029 Date: 0711912005 10:04:35AMi
I
Jrfu/Journal Number
coM2005-00929
coM2005-00929
coM2005-00929
coM2005-00929
coM200s-00929
Description
* 7o/o State Surcharge
+ l0% Administrative Fee
Gas Fireplace
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
15.00
30.00
10.00
Item Total:$62.65
Payments:
Tlpe of Payrnent Paid By Received By
Check Number
Batch Nrmber
Authorization
Number How Received Amount Paid
Check MIDGLEYS djb 9703 In Person
Payment Total:
$62.6s
$62.6s
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Property llne chonge ls opproved os provlded for ln the Eugene Code ond O.R.S.
(see flle number LA Qab>)
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EXPIRES DEC. 3I. 1997
1ir
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31.0 North 6th Strset
Sprlngfleld, Oregou 57477
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85,726 8Q. Fr.,.97 ACRES
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OREGON
JULY 20. t993
DAVID L. BROWN
2609
REGISTERED
PROFESSIONAL
LAND SURVEYOR
Dote Q-;q - qto By
Eugene Plonnlng -ond Development Deportment