HomeMy WebLinkAboutPermit Mechanical 2001-8-31
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I Job# 01-00938-01 I
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TRANS#:01-0006575
DA TE : AUG 31 2001
AMT RECD:2 $ 185.25
CHANGE:
CASHIER:003
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00938-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 656 A St Spr
Assessors Map#: 17033531
Lot: Block:
Addition:
Tax Lot #: 03500
Subdivision:
Owner:
Address:
Modeme Studios
656 A Street
Phone Number: 541-746-4438
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
REPLACING ROOF TOP PACKAGE UNIT (GAS)
Contractor Type
Mechanical Contr
Contractor
James Heating
115 Lawrence St, Eugene, OR 97401
Registration # Expiration Date
Phone
541-461-2101
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 Gas
Final Mechanical
Required Inspections
I Mechanical I
- When all gas work is complete,
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Job# 01-00938-01 I
Paid On Receipt#
I Mechanical
08/31/2001 6575
08/31/2001 6575
08/31/2001 6575
08/31/2001 6575
08/31/2001 6575
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Page 2 of 2
Value/Quantity Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
$33.00
$3.60
$12,00
$10.00
$3,15
$61.75
$61.75
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 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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Signature
Date