HomeMy WebLinkAboutPermit Mechanical 2003-2-5
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City of Springfield
Mechanical Permit
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Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: MEC2003-00005
ISSUED: 2/5/2003
APPLIED: 2/5/2003
EXPIRES: 8/5/2003
SITE ADDRESS: 4748 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1803031103200
Eugene
TYPE OF WORK:
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION:
Replace 3 gas units and 1 gas furnace
OWNER! APPLICANT:
STAR RENTAL INC
PO BOX 3657
SEATILE WA 98124
WILDlSH INDUSTRIAL DEVELOJ
PO BOX 7428
EUGENE OR 97401
MECHAMCAL CONTRACTOR:
HARVEY & PRICE CO 541-746-1621
PO BOX 1910,0
EUGENE 0R)97.\1~0
P.'" ''\j\\' ;"
CCBJil7].,0f.' :I. \ExpiI]1tion Date: 10/31/2004
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AmountPaid.\\V ~OO" \~~Date'iP)!id' 'l,.e~~ ~'i.\O<"ReceintNumber
-<'\'V. ~e'" f.'\0 \\)"" n\"'- 0\0 .~\V
4.50' >tl \~ Ce ()\) . 02185/2003 ~O\~ 1200200000000000650
3. I'?)I'.~ v~\\~~?;\)\)\' 0'O\'3-9~0,n:O~:l/..1?p)' 1200200000000000650
t O.qOO\\ \..'?- g \\,'3-'\ ef.'\eO~.o~!2<lQ3,~ 1200200000000000650
27.riiJ or -{ov, eO (02/05/2003 1200200000000000650
12.00\f.'\)\)'?J\)' ~\\~ \~O\\'(,\e \Q.2/05/2003 1200200000000000650
6.00 v~ ~e\ ^",\e\ 02/05/2003 1200200000000000650
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Descrintion
+ 10% Administrative Fee
+ 7% State Surcharge
-Issuance Fee-
Appliance Not Listed
Furnace - UP to 100.000 btu
Minimum/Adiustments - Mech
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To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7~ am. will be made
the same working day, inspections requested after 7:00 am, will be made the following wQr~\\t~9. ",
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Reouired Insoections: ~l.)1\C '~\, 'b\\~ 't.'\lI ,\\\'b ~ ~'t.\) ~Q'\lI
\\\'b ~'t.?\ 'i) Ij~'i) ~~~~\)Q
1 Rough Mechanical: Prior to Cover ' ~\\\C)'\lI\1t: 't.'i) C)'\lI \'b 'i).
2 Final Mechanical: When all mechanical work is !e.~tli~~~~'{ ~'t.'\lI\Q
By Signature, I state and agree, that I have carefully exa~'li ~e compl eted application and do hereby certify that all
information hereon is true and correct, and I further certi fy that any and all wolk performed shall be done in accordance with
the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certify 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, that each address is readable from the
'~~7YX~~;U ~,;,",ili<,;" ..l'm~,"ri;'::;
Owner or Contractors Signature Date
1 of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
MEC2003-00005
MEC2003-00005
MEC2003-00005
MEC2003-00005
MEC2003-00005
MEC2003-00005
Payments:
TWe of Payment
Check
Paid By
Description
Furnace - up to 100,000 btu
Appliance Not Listed
Receipt #: 1200200000000000650
Date: 02/05/2003
Minimum/Adjustments - Mech
-Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
HARVEY AND PRlCE
Received By
Check Number Confirm No
djb
Page I of I
,
2/5/2003
9:30:55AM t'
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
12.00
27.00
6.00
10.00
3.15
4.50
$62.65
.
Amount Paid
62.65
$62.65
How Received
In Person
Payment Total:
cReceipt.rpl