HomeMy WebLinkAboutPermit Mechanical 2002-6-11
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I Job# 02-00675-01 I
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
TRANS#:01-0009486
DATE: JUN 11 2002
AMT RECD:1 $ 10.00
2 $ 51. 75
CHANGE:
CASHIER: 00l.
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-00675-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 505 S A St Spr
Assessors Map#: 17033531
Lot: Block: Addition:
Tax Lot #: 13000
Subdivision:
Owner: . Laxtons Big a~.~ ,1.~!I.V.,~""v l Jv .J Phone Number: 541-747-9412
Address: 1~1'1~~~Wj.,-~~t~~etoy the Oregon Uti~i(Y " City/State/Zip: Springfield, OR 97477
,'C__ .'~~ r""tP\. Those rules are setlo~', .
Scope Of,Work:cMechanlcablO through OAR 952-00, - Repair Value: $0
in OARy952m-O~yl ~btain 'copies 01 the rules by
0090. ou , \h telephone
r.alli~~P',I!tciJlglHeatIPi:Jrii~... e ., _""M"M
berfortneult::yull.....ll".' ,.--.
Contractor T}Pre (f.ontractof'''f)- 0 M. ':1344).
Electrical Contr Pacific Air Comfort Inc
Po Box 790, Roseburg. OR 97470
Mechanical Contr Pacific Air Comfort Inc
Po Box 790, Roseburg, OR 97470
NOTICE:
I HI:> I'ttllVlIl i)ri,,;'L [l;f1~: r -:-11:: wsr,y'
Registr~!mtbR'lUj~"@i~itWIS PERMll)~& NOT
39237 COMMEN&lll)2Ce\lIS ABANDS1NE6lr~~10
ANY 180 DAY PERIOD.
3/25/2004
39237
541-672-9510
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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
working day.
Final Mechanical
Required Inspections
I Mechanical
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
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Fee
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
3hp - - 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Signature
Job# 02-00675-01 I
Paid On Receipt#
Mechanical
06/11/2002 9486
06/11/2002 9486
06/11/2002 9486
06/11/2002 9486
06/11/2002 9486
06/11/2002 9486
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Page 2 of 2
Value/Quantity
Fee Amount
1
1
$21.00
$3.60
$12.00
$12.00
$10.00
$3.15
$61.75
$61.75
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Date