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Home My WebLink AboutPermit Mechanical 2003-10-30 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . .- CITY OF ~rK11"'4lJt<mLD Building/Combination Permit PERMIT NO: COM2003-01l00 ISSUED: 10/30/2003 APPLIED: 10/30/2003 EXPIRES: 04/30/2004 VALUE: SITE ADDRESS: 4102 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344200400 Eugene TYPE OF WORK: Mechanical Only TYPE OF USE: PROJECT DESCRIPTION: Mechanical inspection for greentag on existing system New Commercial Owner: GUTHRIE JIM Address: 1475 S BROOKLYN ST EUGENE OR 97403 Contractor Type Contractor # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I License Expiration Date Phone I BUILDING INFORMA'I'ro~~, , \\\\;. \\ ~{b \ . # '/..~t~s:_ \,~\\WI \\}\\ ,,''\i.\C~' ..,\ 91el l\of'S\~"ctu~i.\) \,\v "-\\"'\ <roll C- fir. 'l~Vv ,"S \'" 1~'i) ",yl' {!! y.c:ll . \V~\\\\)\\\~ x.UV~~r!~8~: ",I.'> ~'i:.~c. '~"l'gi\1)pe: c.()~ \ 'Qrj 'VlEnergy Path: ",~'l Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Fl Basement: Sq Ft Gar:ageiCarport Sq Ft Other: Impervious Surface Area: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicap.e,ed: P d D. R d eqUI"'~ vou , ave rive q: N'Oregon laW r CO'inpacthy ATTEN'\O . the Oregon Uti , % of Lot Coverage:'ules adopted by I 5 are set tgr1 101l0W I ,hose ru e 0 IntifiC~~~~ ?~~~~~ ~ ~ .hr'" ~nh OAR 9~:.:: \ I PUBLIC IMPROVEMENTS',vay obtain cOpies at t~t) hone vV"v. ,-' n ." (Nnle: the te ep . ailing the CESlilewalK Type:,ty Notification C th" Oregon vIII number ~~~." R~"\'!.~ll'I~t~l>.rlifus~4). I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Tvpe of Construction Value Date Calculated Total Value of Project Paee I of2 . . CITY OF ~rKll~lJN1!,LU Building/Combination Permit PERMIT NO: COM2003-01100 ISSUED: 10/30/2003 APPLIED: 10/30/2003 EXPIRES: 04/30/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees P3id I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Miscellaneous Mechanical Amount Paid Date Paid Receipt Number $10.00 $4,50 $3.15 $45.00 10/30/03 10/30/03 10/30/03 10/30/03 1200200000000002393 1200200000000002393 1200200000000002393 1200200000000002393 Total Amount Paid $62,65 I Plan Reviews I To Request an inspection call the 24 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 Renuired Jnmeetions I 1 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, 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. 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, th~t t ermit card is located at the front of the property, and the approved set of plans will remain on the site at all times duri c nstruction. ~ 16h%3 Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01100 COM2003-01100 COM2003-01100 COM2003-01100 Payments: Type of Payment Cash ~ Wi....;,rr'''~Qf'=,,,D,~.,"C, :, .....' : ..."._0. ...,. .."""."',......... ^ -.< Receipt #: 1200200000000002393 Description + 7% Statc Surcharge + 10% Administrative Fee Miscellaneous Mechanical -Mechanical Issuance Fee- Paid By UNITED PIPE SUPPLY Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department ... Public Works Department Date: 10/30/2003 lO:54:49AM ~' Amount Paid Item Total: 3,15 4.50 45,00 10.00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65 . .