HomeMy WebLinkAboutPermit Mechanical 2001-4-24
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I Job# 01-00405-01 I
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Page 1 of 2 '
TRANS#:01-0005032
DA TE : APR 24 2001
AMT RECD:1 $ 50.00
CHANGE:$ 23.50
CASHIER:061
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SPRINGFIELD
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Job Number: 01-00405-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 418 A St Spr
Assessors Map#: 17033531
Lot: Block:
Contractor
AUTOMATIC HEAT CO,
3675 FRANKLIN BLVD., EUGENE, OR
97403
Owner:
First Christian Church
418 A Street
Address:
Scope Of Work: Mechanical
replacing oil furnaces
Contractor Type
Mechanical Contr
Tax Lot #: 02700
Subdivision:
Addition:
Phone Number: 541-747-4251
City/State/Zip: Springfield, OR 97477
New Value: $0
Registration #
0000439
Expiration Date
10/2/01
Phone
541-726-7654
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
NOTI\,;I::.:
To request an inspection call the 24 hour recording at 726-3769. All insp'ection~,renuestedLbefo~e,7.o00THEWORK
--I 'I~L.I""t-'l""j'" ~HH.I c^r'I"'" II
a,m, will be made the same working day, inspections requested after 7:00 a,m~will tie made the fojlowingllT IS NOT
working day. AUTHORIZED UNDER THIS I-'~Hlv
R 'd I t' ('/,,\MMl=Nr.FnORISABANDONEDFOR
equlre nspec Ions
M h 'I IANY180DAYPERIOD,
ec amca
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover,
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq, Feet)
I Main: Accessory:
\
r- ..... . n...,....._ ~:.. --.. ,.::~~...;~;'~O
A. 1'-1~I.u. I'"
folloVIII'!., ',:, ',j'-: :lrj,10n IJtllity"
# Of Stories: Nutiri<!'l_~!ght:(feet): ';, ,,' ,c ;JI:JE ,ir., sat for""
Current Units: in OAP'.:oposiid'Units: nfOugh OArl ~52-o0 ,-
~~" y "'~."~"li ~nn'I"~ nf+h:OHUI'3s by
Census Code: Does not apply). OU lk.~ ,I'~ I ,0' ~ - ,
callirg .n" ';.:111:"., \1\M~:"n~ lal~phD~9
T tal' I nuitlbClr ;;);' ;;,.:1 I,,'h);JJ"~. 'Ilil\ Notification
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ront.'1r1c, -roo .11-, .:.u....L. .
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Job# 01-00405.01 1
Paid On Receipt#
Mechanical
04/24/2001 5032
04/24/2001 5032
04/24/2001 5032
04/24/2001 5032
04/24/2001 5032
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Page 2 of 2
Value/Quantity Fee Amount
Fee
l
Minimum Mechanical Permit
Administrative Fee - Mechanical
More than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
$7,50
$.45
$7,50
$10,00
$1.05
$26.50
$26.50
Grand 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 proie. ct. I further agree to ensure that all required inspections are I / ,/
reqUestmhe~e and that the project address is readable from the street. Cf/ z C( / 0 I
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Signature Date