HomeMy WebLinkAboutPermit Mechanical 2000-11-20
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I Job# 00-01679-01 I
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Page 1 of2
TRANS#:01-0003832
DATE:NOV 20 2000
AMT RECD:1 $ 40.00
CHANGE:$ 13.50
CASHIER: 061
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01679-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 755 Harlow Rd Spr
Assessors Map#: 17032200
Lot: Block: Addition:
Tax Lot #: 03000
,
Subdivision:
Owner:
Springfield School District
525 Mill Street
Phone Number: 541-744-6375
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Guy Lee Elementary School
Gas piping for conversion to dual fuel
Contractor Type
Engineer
Contractor
Hatten Johnson Associates Inc
223 W 12Th Ave, Eugene. OR 97401
Registration #
96865
Expiration Date
2/14/2002
Phone
541-343-8748
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
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To request an inspection call the .24 hour recording at 726-3769. 'f\I!i!l)~I?E!<;!j2':l~rElqueste1JloefOrer7\'ii~\lORK
a.m. Will be made the same working day, Inspeclions requested after 7:00Ra.m[)wllI,be.made;the:followlng~OT
k. d AUTHU ILt: u,"u.:n" uv' -' ".... .
~~~ OR
COMMENCED OR IS ABANDONED F
Required Inspectil?~,~ 160 DAY PERIUu.
Mechanical ... I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Gas
Final Gas
. When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
out"
ATTE.I;~';O'\I:J'eg(", .a" ~cqu'r:)s V.,:
tallow rules adopted hv+hE Orepon Uti lit)
.,. t' r rf>I"IP" Tl10strules are set for
# Of Stories: Ilothlca l;tleight (feet):hrOughOAR 952-00 I
n OAR 9~~-lJu I-IN ". ,
Current Units: \JOr:lO y~/j'm.!1?!!.~c,I.;.l,Jni~:,iaS of the rules b)
Census Code: Does not'aRPIy.g the centel. (I\~ole: tho tola~ho~e
I """'borlO; theOragon. Ulil.itY N. otiflcatlon
num . ,,^ "',? ',QA A)
Total: CtSi't;:f1:;: 't..p. l~.'.j .. _........
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Fee
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
Job# 00-01679-01
Paid On Receipt#
Mechanical
11/20/2000 3832
11/20/2000 . 3832
11/20/2000 3832
11/20/2000 3832
11/20/2000 3832
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Page 2 of2
Value/Quantity
1
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.
_/L...-...JI">''''''
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Date
Fee Amount
$2.00
$13.00
$.45
$10.00
$1.05
$26.50
$26.50