HomeMy WebLinkAboutPermit Mechanical 2000-6-7
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I Job# 00-00890-01 I
Page 1 of 2
, TRANS#:01-0002057
DATE:JUN 07 2000
AMT RECD:l $ 30.00
CHANGE:$ 3.50
CASHIER:059
CITY OF SPRINGFIELD~ OREGON
I
COMMERCIAL PERMIT
City Of Springfield ,
Community Services Division
Building Safety
Job Number: 00-00890-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line:. 726-3769
Location Of Proposed Site: 541 W Centennial Blvd Spr.
. Assessors Map#: ,17032743
, Lot: Block: Addition:
Tax Lot #: 05805
Subdivision:
Owner:
Address:
Hawaiian Time
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Condit*
706 Oscar St, Eugene, OR
Phone Number:
.: ~"":.j\-;~\..":"',;:':,,,,,~!;~':~';c_.~'~:':' .~.... ".;uo/. :_.~. .
City/State/Zip': I Sp-ringfiela OR 97.!:l-7r' ." VI-' '. .'
,l'-'~'~ J\, meo al.;H'ii.)/eU '(j)! tile Oreqon WHit.
Alteration'''1t:k::o, Tim j CemVaI6Ews~:$OJ!e~ ~.m" ,'at foi'ni
<~' OAl"\ ;-lb2-00H1010 (7)<08911048 :b2-00-i.
LJ090. Vnfi (n:H;nh'l-~iJt','''v"\n;''''''''...cl..~..,__..;_ ~
I' _.." _.,~._~ ~.... ~- !",,4'1V.:1..;;J Ll",
call my he G(.mtsr,. (Nots: ffH;; te!sphone -
!; umb!3r lor the Or.SPQiI ljiiliN NotifiCCi+irm
Reg Istratlon4#.;,.,E~plr~t1<>''1.e~~.e;>:14). Plione
84164 1/27/00345-283-8
541 W Centennial Blvd
Scope Of Work: Mechanical
Office Use
Quad Area: , Land Use: ' # Of Buildings:
# Of Units: Zoning Code: NOTICE.. Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: . Range: THIS PERMIT SISq!Lff!j!{P1~ IFTHE WORK
, ' " AU7rllJHILcU UNDER THIS PER~I'I'r IS NOT
To request an inspection call the 24 hour recording at 726-3769. AI~i~~fAAt!ft~~Q,Q~fAW.7.~ 0
a,m, will be made the same working day, inspections requested afteIN7y:00 a,m, Wi1loe rnaIDNMe'~8~6 i~6>R
working day. ' A 180 DAY PERIOD. '
Required Inspections
Mechanical " I
Rough Gas
Rough Mechanical
Gas Service
Final Gas .
Final Mechanical
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te!
- When all gas work is complete,
- When all mechanical work is complete,
, Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?D '
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:.
Total:
Fee
Job# 00-00890-01 I
Paid On Receipt#
Mechanical
06/07/2000 2057
06/07/2000 2057
'06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
Value/Quantity
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
More than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
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. Ifurther 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 propertime and that the project address is readable from the street.
~~li\ ,~ . , , .
Signat~r.;J0 -. .~. , .
Page 2 of 2
Fee Amount
1
$4,50
$2.00
$1,00
$.45
$7.50
$10,00
$1.05
$26.50
$26.50
\.0 -1-0\)
Date