HomeMy WebLinkAboutPermit Mechanical 2009-4-20
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00522
ISSUED: 04/20/2009
APPLIED: 04/20/2009
EXPIRES: 10/20/2009
VALUE: $ 790.00
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Liue
SITE ADDRESS: 2220 NUGGET WAY
ASSESSOR'S PARCEL NO.: 1803031401400
Eugene
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 41ft underground gas line wl2 up rights
Owner: RIDGELINE PIPE MANUFACTURING
Address: 2220 NUGGET WAY
EUGENE OR 97403
Contractor Type
Mechanical
Contractor
I CONTRACTOR INFORMATION I
{(Wo' <:IV/IO
. IvOllfrl'cW rill" IV: J,J,icense
It} qt. \;'8 'e""
COMMERCIAL AIR INC nn.O..q0'n:OI)F.ilO'di!P^075 (l'i" 12/18/2009
.....,. , v_ - ,,,.... ... 0 'f::!
BUILDING.\NF,oR'MA];[O~J ~ the /julrel!!
"<Jir}'- .J Ih"Y o[ . Jrh I!!e rut. rego YOu t
uer e c utili rou el!! il I) iJ1ih 0
# of Stone/or th el)ter. I) cOp' gh O..q rd@J1;;''';'y
Height ofSt:ln:l,~6lre (lvot/el!! Oft IT ~_FP1'h Floor:
Type of Heat: (I!! "agol) Uti/he te;e rfj~f()zUd Floor:
Water Type: 0'33<. ty lvotleP~'Ff>Jlasement:
Range Type: <34<1). 1Jcil~8'Ft Garage/Carport
Energy Path: Sq'Ft Other:
Spriukled Building: n/a Occupant Load:
Expiration Date
Phone
541-461-4821
# of Units:
Primary Occupaucy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Pavcd Drive Rqd:
0/0 of Wt Coverage:
7",,~"'ICt.
.W ~
I PUBLIC tmffiJt~r;~s..
l-OM -, "<!.bb~LL fKi T e'
ANy 1~OrNCrD ~:~rR rf{j~)>> rhSWf.\~
DAYp ,S ABA "'""I!'Jf'N!/f "11'1(
'tRIOD ,.,NDONED IS Nor
. FOR
Total:
Handicapped:
Compact:
Notes:
I V aluation Des~riDtion ~
Description
Type of Constructiou
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 00
Status
Issued
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
Bid Amount
Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical-Value
Total Amount Paid
Amount Paid
$6.96
$2.90
$58.00
$67.86
$1.00
, ,
Total Value of Project
Fees P~id .1
Plan Reviews I
Date Paid
4/20/09
4/20/09
4120/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00522
ISSUED: 04/20/2009
APPLIED: 04/20/2009
EXPIRES: 10/20/2009
VALUE: $ 790,00
790.00
$790.00
$790,00
04120/2009
Receipt Number
1200900000000000278
1200900000000000278
1200900000000000278
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
R.~lJuirerllnsrec~io~s I
By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all
information hereon is true and currect, and 1 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.
1 further certi(y 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.
a Ij~
~ \ - r
Owner or Contractors Signature
Page 2 of2
4/XJ/dI
Date
225 Fifth Street
Springfield, Oregon 97477
541-7~6-3759 Phone
Job/Journal Number
COM2009-00522
COM2009-00522
COM2009-00522
Payments:
Type of Payment
Check
CreditCard
Job/Journal Number
COM2009-00522
COM2009-00522
COM2009-00522
Payments:
Type of Payment
Check
CreditCard
cReceintl
RECEIPT #:
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
RIDGELlNE PIPE MANUF
RICHARD WOODFORD
Description
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
RIDGELlNE PIPE MANUF
RICHARD WOODFORD
City of Springfield Official Rcccipt
Dcvelopment Services Department
Public Works Department
1200900000000000278
Date: 04/20/2009
Item Total:
Check Number Authorization
Received By Batch Number _Number How Received
djb
djb
3415,
In Person
021820 In Person
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
In Person
021820 In Person
Payment Total:
3415
Page I of I
JO:26:47AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$58.00
$9.86
$67.86
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$58.00
$9.86
$67.86
4/20/2009