HomeMy WebLinkAboutPermit Mechanical 2000-6-19
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Job# 00-00967-01
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Page 1 of2
TRANS#:01-0002231
DATE:JUN 19 2000
AMT RECD:2 $ 26.50
. CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00967-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 770 Harlow Rd Spr
Assessors Map#: 17032234
Lot: Block: Addition:
Tax Lot #: 02800
Subdivision:
Owner:
spring valley assisted living
770 harlow rd
Phone Number: 541-744-2116
City/State/Zip: springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Mechanical
ale installation change out
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Condit'
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
6/25/2001
Phone
541-345-2838
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. NOTICE:
T....I<=: D~I'lMIT !,;HALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NU I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Required Inspections
Mechanical
Rough Gas
Final Gas
- When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories: Hei~h,tl~~e~J_;,.,.".,.,..,... ,ad .;:;lI\.lIra" you.~.
Current Units: Proposed IUnits:lotod b\l the Orcqon Utlht~
fOllUW ILl t;;.:: c;lV"-, \';>"" .,.. _ ff I
Census Code: Does not apply l('1tifiC?tlo" :;~rt"r ~ ;'~~r wiG'> I ~ :_~ ('1.
. 0,...... dtJd-OO'i-ll:1 i \1 ,', ";I~;~" t~:~:i ,~2-00~
Total: '090. YO\; .nay o~,t2in COr.IO~ Oi ,,1~ ,,'IIOS .
d _ __....^... J~I:~........h, ~",. .'.J ~one
VU"b"e''"r' j'o'~ (h~ Or~('101ll;lii', ,\!oi;!icatior
"!Jm ... ~<-N~ .....~ c'''1J:\
..... ~...' ":' '.' - .... .
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Job# 00-00967-01 I
Paid On Receipt#
Mechanical
06/19/2000 2231
06/19/2000 2231
06/19/2000 2231
06/19/2000 2231
06/19/2000 2231
Fee
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
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Page 2 of 2
Value/Quantity
1
Fee Amount
1
$9.00
$.45
$6.00
$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
requested at the proper time aREI tAat the.project address is readable from the street.
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