HomeMy WebLinkAboutPermit Mechanical 2000-11-28
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I Job# 00-01731-01 I
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANS#:01-0003885
DATE:NOV 28 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
Job Number: 00-01731-01
225 North 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:
Oregon State Police Departmet
3620 Gateway
Phone Number:
City/State/Zip: Springfield, OR
New Value: $0
Address:
Scope Of Work: Mechanical
replace infrared heater
Contractor Type
Mechanical Contr
Contractor
Associated Heating and Air Cond '
PO Box 412, Eugene, OR 97440
Registration # Expiration Date
Phone
541-683-2590
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
"''''''i'''I^V-.
I\lVC'V_.
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769n~!1!n!!PEl.ctio!JsLrequEl'stealljetoTel7.:'dil,)RK
a.m. will be made the same working day, inspections requested afteHr 7.:00.a.m. will be made.the fOllowing)'"
k. d PU I UHILc:U UI'",Ut:.n II 11...,:1'- L-I In... ..... 'I
wor Ing ay. .
COMMENCED OR IS ABANDONED FOR
Required InspecJ!~r~130 DAY PERIUU.
Mechanical I
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq, Feet)
Main: Accessory:
ATTENT!O!\':'Jf'3C''''''' :21~1 ':~~Tlrec. IOU to
follow rule!:' aCioPtaC: JII !ilf Ol":)oon Uti:;iy
, Notification rc~mt'"i. 'iho!';E. I ules dre set "nn .
# Of Stone.s: in OAR 952-!ilJlgJJ-.I~e,~~)~~gh OAn 952-001-
Current Umts: 0090. You IT/YyOP8!i~,~tY_?J~~ of the rules by
Census Code: Does Q.l2!i~P.BIy.le (;~nle(. (NOtd:.t~3 t:;)I~~ho~e
nUlllbGriOrthaOr390n utility Nollflcalion
Total: CentDris l-e~O-3::::?-2344).
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Job# 00-01731-01
Page 2 of 2
Fee
Paid On' Receipt#
Mechanical
11/28/2000 3885
11/28/2000 3885
11/28/2000 3885
11/28/2000 3885
11/28/2000 3885
Value/Quantity
I
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less 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. 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
0:~~:d ~\~pr~p~~a~d~:~a~~e)t address is readable from the street. . \ \ _ a <6'- 00
Signature U Date
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50