HomeMy WebLinkAboutPermit Mechanical 2004-03-16Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2004-00287ISSUED: 0311612004APPLIED: 03/1612004
EXPIRESz 0912912004
VALUE:
SITE ADDRESS: 3100 E 17TH AVE Eugene TYPE OF WORK: Miscellaneous
ASSESSOR'S PARCEL NO.: 1703334400300
TYPE OF USE: Alteration Public
PROJECT DESCRIPTION: Install exhaust hood for hazardous waste collection facility. Mechanical and Electrical
permits.
PhoneNumber: 541-682-4120Owner:
Address:
COUNTY OWNED LANDS DEPT
I25 E 8TH AVE PUBLIC SERVICE BLDG EUGENE OR 97401
Contractor Type
Electrical
Mechanical
Contractor
OLSSON INDUSTRIAL ELECTRIC
HARVEY & PRICE CO
License
63473
77
Expiration Date
0t/26t200s
10t3U2004
Phone
541-747-8460
541-746-1621
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARIilNG
Total:
Ilandicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
AT IEN lit-,rtv.i-,reglttir i&Vr/ r'Equ,tuJ ivuNotes: follow rulcs adopted by the Oregon Utility
Notification Center. Those rules are set fortr
in OAR 952-001-0010 through OAB 952-00i
0090. You may obtain copies of tlre rules h,
calling the center. (Note: the telephone
numberforthe Oregon Utility Notificatrun
Center is 1 -80Cr-332.-?-344\.
I{OTICE;
Ilfl.l!RMIT SHALL ExprRE rF THE woRKAUTHOfi IZED UNDER THIS PERMiiri'IrOr
g.g.^lMENOED oR rs ABAND0NI; ;o"R''ANY IBO DAY PERIOD.
Sidewalk Type:
Downspouts/Drains
DEVELOPMENT INF(
PUBLIC IMPROVEMENTS
Page 1 of3
.IB
lI U l.l-Ul1\ tJ rN I UI{]Yl,q f {ll'r_.]
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00287ISSUED: 0311612004APPLIED: 03/1612004EXPIRESt 0912912004
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ llYo Administrative Fee
+ 7%o State Surcharge
Exhaust Hoods
Minimum/Adjustment Mechanical
+ llYo Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
3lt6t04
3n6t04
3n6t04
3n6t04
3n6t04
3t29t04
3t29t04
3t29t04
3t29t04
Value Date Calculated
Receipt Number
2200400000000000250
22004000000000002s0
22004000000000002s0
2200400000000000250
2200400000000000250
1200400000000000400
1200400000000000400
1200400000000000400
1200400000000000400
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.50
$3.1s
$9.00
$36.00
$4.s0
$3.1s
$43.00
$2.00
$115.30
Epps Paid
Plan Reviews
To Request an inspection call the24 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.
4 Rough Mechanical: Prior to Cover
I Final Mechanical: When all mechanical work is complete.
3 Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
2 Final Fire Department. After all requirements of the Fire Department have been met.
5 Rough Electric: Prior to Cover
6 Final Electric: When all electrical work is complete.
Rpnrrirpd Insnpefinns
Page 2 of3
IEIT
I 3.
Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00287ISSUED: 0311612004APPLIEDz 0311612004
EXPIRESz 0912912004
VALUE:
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 construction.
Owner or Contractors Signature Date
Pase 3 of3
L {L]
\?225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Departrnent
z 0312912004
coM2004-00287
coM2004-00287
coM2004-00287
coM2004-00287
+ 7Yo State Surcharge
+ 1006 Administrative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
3. l5
4.50
43.00
2.00
Item Total:$s2.65
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check OLSSON INDUSTRIAL
ELECTRIC
djb 36991 In Person
Payment Total:
$52.65
$s2.65
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Contractor Type
ftuc,r^-
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Building/Combination Permit
PERMIT NO: COM2004-00287ISSUED: 0311612004APPLIED: 03/1612004
EXPIRESz 0911612004
VALUE:
SITE ADDRESS: 3100 E ITTH AVE Eugene TYPE OF WORI(: Storage Building
ASSESSOR'S PARCELNO.: 1703334400300
TYPE OF USE: Alteration Public
PROJECT DESCRIPTION: Install exhaust hood for hazardous waste collection facility
Owner: COUNTy OWNED LANDS DEpT
Address: 125 E 8TH AVE PUBLIC SERYICE BLDG EUGENE OR 97401
tl**.6i4,'.P
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
lo
Sidewalk Type:
Downspouts/Drains:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Date Phone
7.{6 - t GLt
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
License+77
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase I of 2
CONTRACTOR INFORMATION
m
DEYELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
_-I
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
FIELD
Building/C ombination Permit
PERMIT NO: COM2004-00287ISSUED: 0311612004APPLIED: 03/1612004
EXPIRESz 0911612004
VALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
Exhaust Hoods
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.1s
$9.00
$36.00
$62.6s
Date Paid
3n6t04
3lt6l04
3tr6t04
3fi6t04
3n6t04
Receipt Number
2200400000000000250
2200400000000000250
2200400000000000250
22004000000000002s0
2200400000000000250
Plan Reviews
To Request an inspection call the24 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 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
4 Final Fire Department. After all requirements of the Fire Department have been met.
Reou
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 construction.
oL
Owner or Contractors Signature
Pase2 of2
Date
\
225'Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
t.r€City of Springfield Of{icial Receipt
Development Services Department
Public Works Department
52N
coM2004-00287
coM2004-00287
coM2004-00287
coM2004-00287
coM2004-00287
Exhaust Hoods
Minimun/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ l0Yo Administrative Fee
9.00
36.00
10.00
3. l5
4.50
Item Total:$62.6s
Type of Payment Paid By Received By Batch Number Authorization Number lfow Received Amount Paid
CreditCard LANE COUNTY PUBLIC WORKS dlm 000325 016140 In Person
Payment Total:
s62.6s
$62.65
(
(
\
LEGAL DESCRIPTION-- ia*tqq ,cP-soc
:25 FIFTH STREET . SPRINGFIELD, OR97477 ' PII:(541)726-3753
E LE CTRI CAL P ERM IT EP P UCETTON
City Job Number coyl2004-.oo2B7 Date
1.
3iOo € lTtu A
o FAX: (541)726-3689
The fbllowing project as s
zonrng, and does not require
Service Included
1000 sq. ft" or less
Each additional500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
201 Amps to400 AmPs
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Reconnect Only
land use
$i06.00
$ 19.00
$s0.00
$ 63.00
$ 7s.00
$163.00
$37s.00
$ 50.00
$ 50.00
$ 69.00
$r00.00
see "B" above.
43.00
JOB DESCRIPTION
Install- (1)fan
Permits are non-transferable and erpire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
Address PO Box 70413
City Erroene Phone 747-8460
Supervisor License Number 3334s
Expiration Date 10-1-04
Constr. Contr. Number 63473
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
Over 600
B.
2.
Electrical Contractor Ol-sson Industriaf Electric 200 Amps or less
C.
Expiration Date ot/26/2005
Signature of Electrician D.
OwnersName Lane Countv Waste M t Divsi
Address 3100 East lTth Ave.E.
New Alteration or Extension Per Pand
OneCircuit I $43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3'00
.r
$ s0.00
7Yo State Surcharge
10% Administrative Fee
TOTAL
$ 2s.00
$ 4s.00
Inspection Fee is $45.00 * Surcharges
3.15
4.50
52.65Inspection Request: 726'3769
Shared Drivdt:)/Building Forms/Etectical Permit Application l{3.doc
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lollowing
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