HomeMy WebLinkAboutPermit Mechanical 2008-11-4
~
Status
Issued
CITY 01' ~rKlNGl'l1'.LD
~uilding/Combination Permit
PERMIT NO: COM2008-01620
. ISSUED: 1lI04/2008
APPLIED: 11104/2008
EXPIRES: 05/04/2009
VA.LUE:
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1498 S A ST
ASSESSOR'S PARCEL NO.: 1703363206100
Springfield TYPE OF WORK: Mechanical Only
TYPEiOF USE:
Commercial
PROJECT DESCRIPTION: Gas pipe to single appliance
Owner: ....,
Address:
CARTER HALE E
1498 S A ST
SPRINGFIELD OR 97478
I
I CONTRACTOR INFORMATION'
"
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
Licen'se
149452
Expiration Date . Phone
10/22/2009 541-726-7654
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure.
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occupant Load:
VB
'In/a
I DEVELOPMENT I~FORMATION I
"
REQUIRED PARKING
Frontyard Sethack: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
;.. '''1, ,.~"-",
Rearyard Sethack: , % of Lot Coverage:
Solar Setbacks' ATTENTION: Oregon law requires you to
fir-TIt.., fnll'1w fldet adooted by the Oreqon Utility
TH-IS PE-R'MIT S 1.P\,lBLICJMf,ROVEMENTS ~otification Center. Those rules are set Toi'll!.
, HAll EXPIRE~'" ,IOAR952-001-0010throughOAR952-001-
Street Impr,w1itdOOIZED UNDER THIS PERMIT IS NOT 0090.sltbuvlllk~lain copies of the rules by
St S I"mnw;Mf'ED OR IS ABANDO' NED FOR calljQ,gJhe ~nt'w,JNqte: the telephone
orm eweYl\\llillllilrei . il)~t'lliPlI\\\sOflttl8ii Utility Notification
SpeciallnstANYio18~ DAY PERIOD. num Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Notes:
':v:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq. Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
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Status
Issued
CITY OF MKll~GFIELD
~uilding/Combination Permit
PERMIT NO: COM2608-01620
ISSUED: 11/04/2008
APPLIED: 11/04/2008
EXPIRES: 05/04/2009
VALUE:
225.Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
,
Fees ~,aid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5,20
$6,24
$2.60
$6.00
$46,00
11/4/08
11/4/08
1114108
11/4108
11/4/08
11/4/08
2200800000000001606
2200800000000001606
2200800000000001606
2200800000000001606
2200800000000001606
2200800000000001606
Total Amount Paid
$87.04
I . Plan Reviews ,I
To Request an inspection call the 24 hour recording at 726-3769. Nl inspe.ctions 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 Rerl~,ire11 n~l'~ctions, I
Rough Gas: After line is installed and required testing and capped if not ~ttached to an appliance.
Final Gas: When all gas work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 arein compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the prope~ 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. 'l
,'lk~ ~~ 1161~ 0((
Owner or Contractors. Signature
Date
Paee 2 of 2
"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1620
COM2008:0 1620
COM2008-0 1620
COM2008.0 1620
COM2008-0 1620
COM2008-0 1620
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2008-0 1620
COM2008-0 1620
COM2008-0 1620
COM2008-0 1620
COM2008-0 1620
COM2008-0 1620
Payments:
Type of Payment
Cash
Change
cReceintl
RECEIPT #:
City of Springfield Official Receipt
DevelopmentServices Department
Public Works Department
2200800000000001606
Date: 11/04/2008
Description
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee .
+ 12% State Surcharge
+ lO%.Administrative Fee
Paid By
EUGENE HEATING AND
. COOLING
Item Total:
Check Numbe,' Authorization
Received By Batch Number Number How Received
kr
In Person
In Person
. Payment Total:
Description
Gas Outlets 1-4.
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
EUGENE HEATING AND
COOLING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
In Person
In Person
Payment Total:
. Page I of I
2:13:12PM
Amount Due
6.00
46.00
21.00
2.60
6.24
5.20
$87,04
Amount Paid
$100.00
($12.96)
$87,04
Amount Due
6.00
46.00
21.00
2.60
6,24
5.20
$87,04
Amount Paid
$100.00
($ I 2.96)
$87,04
I 1/4/2008