HomeMy WebLinkAboutPermit Mechanical 2000-3-22
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I Job# 00-00443-01 I
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Page 1 of2
TRANSn:Ol-0001005
DATE:MAR 22 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00443-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 225
Assessors Map#: 17033532
Lot: Block:
Main St
Spr
Owner:
Address:
Seramed Bio Center
Ji'X Lot #: 05500
Addition: 1''' t:~~division:
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Phone<>.,..m~ I -j:Y' ~
ci~~7~~~7r~ld, OR 97477
.CS A~ 0>? ~v ~\:
Alter~ ~~~ 9:J~ .~I)'Value: $0
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Contractor , -<>O~..f ~~~Registration #
American Refrigeration ,-o~ca ~~
4065 W 11th, Eugene, OR 97~
225 Main St
Scope Of Work: Mechanical
Contractor Type
General Contr
Expiration Da~~ Phone
.~?J0 ...0($. ~f) ro<::)<::)-S-
''i>~ 0'" 'O~. .<:::; 0 -,
-".' ;Si-~ ;Si- o'\- ~ ~o'-
~ Qi ~ _V> "",, ..
Office Use ,:}, 0\<,) ~0\'l,..;y ~v,~ ;:$.J'o"$;'~
..;"o'<:l ....0..,,0,0 <::)c;:S ~o.,:>~ y;
Quad Area: Land Use: _..:,V~"~Ii,QfJl'uildl'h~,,,0~ ~">>
~;,) ~ f$o ,..'V' '\,.\3 ~ -!J ~'Y
# Of Units: Zoning Code: .' ~"'::.,\~'.~' 2,ccupan, Cy,,@~~ul"
" 0"" 0~ ,~'_oi>.~ ~'rM~ O~
Constr. Type: Bedrooms: ~~ ~' OCO~l!'I~~ij~"~ia~
Water Heater: Range: ~r:JJ:>0 ;Si-~ CS9,~lF~bQll@:
('),,... ?) ~ ,.,." -,~ ~'~
, 0"~' oQfb"" O~ ~
To request an inspection call the 24 hour recording at 726-3769. All insp.e~.!i~\ffiSl~~\.e'll'before 7:00
a.m. will be made the same working day, inspections requested after 7:00fa:1W"witp'li~lmade the following
working day. ~ <}~~'.:.o~
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Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. F",,;)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
(1 "I
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Job# 00-00443-01
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Page 2 of 2
Fee
Paid On Receipt#
Mechanical
03/22/2000 1005
03/22/2000 1005
03/22/2000 1005
03/22/2000 1005
03/22/2000 1005
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Miscellaneous Mechanical
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
15
$.00
$.45
$15.00
$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 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
re~ed at the proper time and that the project address is readable from the street.
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