HomeMy WebLinkAboutPermit Mechanical 2002-9-6
I Job# 02-01065-01 I
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANS#:01-0010535
OATE:SEP 06 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-01065-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3620 Gateway St Spr
Assessors Map#: 17031533
Lot: Block: Addition:
Tax Lot #: 00300
Subdivision:
Owner:
Address:
Oregon State Police Departmet
3620 Gateway
Phone Number:
Scope Of Work: Mechanical
City/State/Zip: Springfield, OR
Addition Value: $0
Exhaust fan installation
Contractor Type
Mechanical Contr
Registration # EXPira~~e
110075 12/~~~~
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Office Use :-..." '\~~ ~~~
Quad Area: Land Use: '. ~ ~~"l- 'NV,,<(:. ~<o"l-# Of Buildings:
# Of Units: Zoning Code: ~\~<(, ~~ ~ \:::,~ ~ ~ 'N~' Occupancy Group:
Constr, Type: Bedrooms: ~~ ~~ <:?~ ~'\,V) ~~ ~Q,V,,~ Heat Source:
Water Heater: Range: '\~,\\~~~~\J(\~ Sq. Footage:
~,.C'I"'" '0" ,0
To request an inspection call the 24 hour recording at 726-3769:~i'inspections requested bef6re':7~00,
a.m. will be made the same working day, inspections requeste~fter 7:00 a.m. will be made'the:following
working day. ,:/$?" ?~o' ro ""0.'j;r::,'-' -Q'l
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equlre nspec Ions ';' .~. o$-~ 0.....' e.. O',~'
cC) '<$' ( 'S' ~ ~o
I Mechanical I ,~-fJ~00 '0",,'1. ~~ ~ ~f;<.~,v'l>
P. t ..:. ~'<:,,~ .0 '0"" 0~ 0';;
- nor 0 cover. :J' ;:;,.o~. ;s-' ~~ .;s< Nl ,",'
-When all mechanical work is complete. ,,~>" e""'li' e~0 ,;;p"r::,,~vo 0\.0' .~~~'#'
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Height (feet):
,",v
Proposed Units:
Contractor
Commercial Air Inc
1665 Irving Rd, Eugene, OR 97402-2479
Phone
541-461-4821
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
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Fee
Job# 02-01065-01
Paid On Receipt#
Mechanical
09/06/2002 10535
09/06/2002 10535
09/06/2002 10535
09/06/2002 10535
09/06/2002 10535
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Page 2 of 2
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Value/Quantity
I
Fee Amount
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
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. 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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Signatllre/'r Date
1
$39.00
$3.60
$6.00
$10.00
$3.15
$61.75
$61.75