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HomeMy WebLinkAboutPermit Mechanical 2000-2-2 f' . .' ~ iJob# 00-00162-01 I Page 1 012 TRANSB:Ol-0000438 DATE:FEB 02 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 ~ CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00162-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4400 Franklin Blvd Spr Assessors Map#: 17033444 Lot: Block: Addition: Tax Lot #: 00800 Subdivision: Owner: Address: Scope Of Work: Mechanical Phone Number: Clty/StatelZip: Alteration Value: $0 Contractor Type Mechanical Contr Contractor Home Comfort Heatin9 & Air Condit' 706 Oscar St, Eugene, OR Registration # Expiration Date Phone 345-283-8 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? 0 rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Recelpt# Mechanical 02/02/2000 438 02/02/2000 438 Value/Quantity Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee $11,00 $.45 l~ . , . Job# 00-00162-01 Paid On Receipt# I Mechanical 02/02/2000 438 02/02/2000 438 02/02/2000 438 Fee 10,000 Cubic Feet or Less Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total . Page 2 of 2 Value/Quantity Fee Amount I 1 $4,00 $10,00 $1,05 $26.50 $26.50 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 Spnngfield 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 ~he proper ~ that~e project address is readable from the street. // ~~ i~_ -=::, SignatUre - - U 0-- 2- Z-~ Date