HomeMy WebLinkAboutPermit Mechanical 2001-8-7
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I Job# 01.00846-01 I
Page 1 of2
TRANS#:01-0006372
DATE:AUG 07 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00846-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1191 Harlow Rd Spr
Assessors Map#: 17032722
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
Owner:
Address:
Darimart
1554 M Street
Phone Number:
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Install 3 ton gas package
Contractor Type
Mechanical Contr
Contractor
MarshaUs Heating
4110 Olympic Slreet, Springfield. OR
97478
Registration # Expiration Date
Phone
541-747-7445
Office Use ~O?-.'f..
Land Use: # Of Buildings'fo~ S ~O~
Zoning Code: C~. ~0-C!J~X'g~e,r.cil1p\ ~
Bedrooms: ~O"f,~ ~\~ S~Hea~Spurce: ~~\J l-O
Range: 'S '?~~ ~SQ'~Foo~llP
~\\\ _..,\=i\) ,,. !lo.U'
\'IVI'" 0\'\'-
To request an inspection call the 24 hour recording at 726-3769, All i?l~~~ctior:iS;f~ues~d%efore 7:00
a,m, will be made the same working day, inspections requested after 7@I)~a~m),)Yd!I:belilade the following
working day, I>-~'{ ,\'l'l
Required Inspections
Mechanical
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover,
- When all mechanical work is complete.
01}\0
~~llaS 'l1.)\iX\\'l
\\l."" Ie aQ,of\ \ \01\~
,,0('1 ",a 01 0 sa O'\-
~'Ola" o'O'l\\' ~esel 5'2..0
E.\,\"I\O. ;oo~\a ~osa II} :1\ OJ>,~ 9 11}\0S 'O'l
J>,"\"I II}\aS ('I\Gl."I \~IOl}g 0\ \~a 0('10
\o\~?""C\l.\iO('l C,,~o'\ .OO'\~ ^ collia:"'a \a\0?~lce\iO('l
\111 .n.u ",.<\1" \a' II' ~\O\II
# Of Stories: ~o oJ>,~~~1~n!.(fez\!;, \.\,\0 0\i\\\'I ~l'
Current Units: \~090. '~ro~9seda \!,J1its:>~.~~'2.'Z
Census Code: Does not apPly~\\\('I~1 \01 \~ I is '\ .<00
('I1}ll''O C0('1\a
Total: I
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
.
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Job# 01.Q0846.Q1
"Fee
Paid On Receipt#
Mechanical
08/07/2001 6372
08/07/2001 6372
08/07/2001 6372
08/07/2001 6372
08/07/2001 6372
Page 2 of2
Value/Quantity Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
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
requeste a he proper time "('t~~.atll1e project address is readable from the street. I..., /.
' e~j)UJj ~lf /YJ ~/7()/
Signature'1 U,/ ---" Date I
1
$33,00
$3,60
$12,00
$10.00
$3,15
$61,75
$61,75