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HomeMy WebLinkAboutPermit Miscellaneous 2011-1-18 \ .J' , CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00082 IVR Number: 811170070400 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01 f18f2011 01 f18f2011 Issued 01 f18f2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or,us EXPIRES: VALUE: 07f17/2011 $2,000.00 SITE ADDRESS: 2220 NUGGET WAY, Eugene, OR 97403-2472 ASSESOR'S PARCEL NO: 1803031401400 SCOPE: Tanks WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Bulk propane tank Phone Number: OWNER: ADDRESS: RIDGELlNE PIPE MANUFACTURING 2220 NUGGET WAY EUGENE OR 97403 Contractor Type Mechanical Contractor Contractor Name FERRELLGAS LP CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bed rooms: Sprinkled Building: Fire Alan~ls: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 1/18/2011 11:32:27AM lic No 101244 Lie Exp 06/07/2012 Phone 503-792-7402 lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupanc.y load: I ATTENTION: Oregon law requires you to follow rules adopted by the Oregol1 Utility Notification Center. Those rules are set forth in 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 Notification Center is 1-800-332-2344). NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 3 , . '. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00082 IVR Number: 811170070400 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ' permitcenler@ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 01/18/2011 ISSUED: APPLIED: 01/18/2011 01/18/2011 EXPIRES: VALUE: 07/17/2011 $2,000.00 SITE ADDRESS: 2220 NUGGET WAY, Eugene, OR 97403-2472 ASSESOR'S PARCEL NO: 1803031401400 SCOPE: Tanks WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Bulk propane tank Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Bid Tvpe of Construction NA Unit Amount Unit Tvpe 2,000.00 Bid Unit Cost 1.00 Value 2,000.00 2,000,00 FEES PAID ~ Description Amount Paid Date Paid ReciD! # ~~~~regon _Surc.~~.g"J..1 ?:/~c:t_'P.?licabl:'. ~e_e.~.~_.__~_ 01/18/2011.________~'!1 ~1!?.!2.?_ Technology fee (5% of permit total) $7.34 01/18/2011 2011000115 M~ch~~i;~I..Pe;mit.fee'(-based on ;';;'Iue of;o~k)--'...' ..... - ~ U",_ $884.75 -~. - 01-j18i2011---' - - - n . -2011000115' Building P;;;;'~===:--=----'-'---------'--$5s-00~==--=:'-~1/18/203T-== =.: :--;2(l'"{000115' Total Amount Paid $171.70 Springfield Building Permit 1/1812011 11:32:27AM Page2of3 . . ;; , .' ~Sr~INGFIELD . ~"',f!p "'" .,' OR'EGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00082 IVR Number: 811170070400 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfie~d.or.us permitcenter@Cl.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/18/2011 ISSUED: APPLIED: 01/18/2011 01/18/2011 EXPIRES: VALUE: 07/17/2011 $2,000,00 SITE ADDRESS: 2220 NUGGET WAY, Eugene, OR 97403-2472 ASSES OR'S PARCEL NO: 1803031401400 SCOPE: Tanks WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Bulk propane tank Plan Review , DeDartment Fire Review Comments: . Received Due Date Com Dieted Result 01/1812011 01118/2011 01/18/2011 Approved Approved. See case 811-SPR201 0-00565 for submittal of Fire Application. Reviewer Gilbert Gordon Mechanical permit constructed from Permit issuance 01118/2011 01/1812011 0111812011 Issued Chris Carpenter Mechanical'Review Approved Robert Castile 0111812011 01/18/2011 01118/2011 f~1?ti:G~ti?~~~~.cjp1~.r9~14t~:: [' ;~o~/~~~~" -9J !K~~?}t~:~1!:~~~20~1\:;c~~RP,U~!H~n~~~~pt~~i,,~:~~":$~~victBq~Jsg~~',:l':::'~tj: ~:::i: '-;1, ';",~ 1 bi1~t::j,,: '~fc~~,-'i - ~~?",i4:5}f;'!~-'~ fie: '~~itj~~,"~_-/~~,i~::,;~~>i~::0~~:1~.\~~}t~~~~:~~,-=:. ~0~t:'~ly[:;~~~);%Ly.' :~:r;~:~~ -'::~;!'i,~f:' '-', .;~:J INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Footing: After trenches are excavated. Final Building: After all required inspections have been requested and approved and the building is complete. Sy 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 or 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 C02C"fl I ;/~~ 11 . 1110 Footing 1999 Final Building Owner or Contractor Signature Date Springfield Building Permit 1/18/2011 11:32:27AM Page 3 of 3 CITY OF SPRINGFIELD, OREGON - De artment of Fire & Life Safet Fire Marshal's Office FD-088 225 FIFTH STREET SPRINGFIELD, OR 974n (541)726-3737 FAX (541)726-2297 CONSTRUCTION PERMIT APPLICATION ~. .... '?""- .,' -, ~JL__.~ 0/-18-/1 ~ 5,"&791... e:::,~ S'S .. SPd. Zol/ - D 00 82 Choose 1 Choose 1 CommerciallIndustrial o Multi Family . 0 1 & 2 Family Dwelling o AdditionJAlterationlReplacement o New Construction o Tenant Improvement ~ Demolition lid" Tanks o Other :::g~:::ess: . 2220 N UjJe-t uJ:LNO: .~~ \ oR 91LfD3 Assessor's Map and Tax Lot Numbers: / 80 :::s 0 3/ Lf D III <J CJ Project Name: ~O-L'V\o 7\'(X' M~r- 'Ell l k. 'ProlpC<.MO ~_k Description ofWorkJIocations on premises/special conditions: Secondary Containment Yes 0 . Installation [2( Gasoline 0 LP-Gas [2(' TANK INSTALLATIONIREMOVAL Removal 0 Manifolded Yes 0 Diesel 0 Tank ID 500 Gr:A 00 r-... Construction Material M e ~ I Contractor Name: Address: City, State, Zip: Phone: Contact Person: ,--.e, ${}1". Phone:~, -Gnr-~Js"S Job/Contract Value: $J.?OO rOO _ Property Owner Information . Property Owner Name: Mailing Address: City, State Zip: 7 ~ fPwtediwt Me ~ . S~;~:~;EL~ It.~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00082 2220 NUGGET WAY permilcenter@ci.springfield,or.us DATE: 01/18/2011 . ;,'1>'.M0U'NT[:jUE.';~;'.'." .. .. ,_ ~__~.;"...J 58.00 88.75 17.61 7.34 ._._~- TOTAL DUE: 171.70 LJl~Y.M~~I~TY.p'Ef.:tEg~i>::A,i.QR~J:~ASHIER.ccIRF~NfERi;;'c;r::_()iViI\llE~I$~; '.2'."",;'; .ii.:;.2;J~I\IIQ_lJ.NIj:iAll:i'" ... ;;i;~ Credit Card FERRELLGAS LP $171.70 RECEIPT NO: 2011000115 RECORD NO: 811.SPR2011.00082 [bES.C,Ri~tldN~d;~I".~ '~fiYii~';\f:j;k""\~~;:~7:<}€;Jl;~}:~~i,:v:~);J"'~~,,"'.':~'; AC.c_6XJNJLC,ODE~"**o~7j;~<o; Building Permit Fee 224.00000-425602 Mechanical Permit fee (based on value of work) 224.00000-425604 State of Oregon Sur~:harge (12% of applicable fees) 821.000gg-215004 Technology fee (5% of permit tota~.~_ ____~CJ.:00000.425605 i ~ 817907 ._-,.__..----~.~,----~-----~----~ TOTAL PAID: $171.70