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HomeMy WebLinkAboutPermit Mechanical 2002-10-1 ,- . \'t\n (\1) rf1! '!r::rtxJ1., ~i177-01 I . Page 1 of2 TRANSn:01-0010773 DATE:OCT 01 2002 AMT RECD:2 $ 61,75 CHANGE: CASHIER:003 CITY OF SPRINGFIELD, OREGON INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-01177-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2300 Henderson Ave Spr Assessors Map#: 18030320 Lot: Block: Addition: Tax Lot #: 00600 Subdivision: Owner: Address: Pape Brothers 2300 Henderson Street Phone Number: 541-342-1234 City/StatelZip: Eugene, OR 97403 New Value: $0 I Scope Of Work: Mechanical Converting to natural gas for generator at existing cell tower, Contractor Type Mechanical Contr Contractor J Logue Gas Works Inc Po Box 21214, Eugene, OR 97402 Registration # 147111 Expiration Date 3/6/2003 Phone 541-345-7599 Quad Area: # Of Units: Constr, Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following working day, NOTICE: Required Inspections I m.:l n:ntVll ~ ';ii':'~l: ~hflfi[ If ';'1 IE WiJr.1{ I Mechanical Tl.UTHORIZED UNDER THIS PERMIT IS NOT -After line is installed and capped if not attadll€ld/lblliNePPliaJiCdS ABANDONED FOR -After line is installed and line has been conrmql/lc! !ll),Q)'\lI'lifl[ljq)($illpne appliance, Pressure tes -When all gas work is complete, -When all mechanical work is compiete, /onYEI\ll iOIIJ:Uregonla\l.' j .9qU"Ub \'01, ',. fo!'?w ~ules adopted b~1 the Ore~on Ut'::ly ~otlflcatlon Center, Those rules are set ror:, In OAR 952-001-0010 through OAR 952-00, ' 0090, You may obtain copies of the rule~ b, # Of Stories: fteigtlt1(fietpnter, (Note: the telephone ~ Current Units: I'p'r'~p8s~(fl!J'nitr:regon Utility Notification Census Code: Does not apply r.~nt'!l iF ~ -HCn-132-2S4L:), Rough Gas Gas Service Final Gas Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq, Feet: I Main: Accessory: Total: .. '"' . Job# 02-01177-01 . Page 2 of 2 Fee Paid On Receipt# Value/Quantity r Mechanical I 10/01/2002 10773 1 10/01/2002 10773 10/01/2002 10773 10/01/2002 10773 10/01/2002 10773 Fee Amount One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical 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 ;::;1~p:ope:e and that the project address is readable from the street. / ()" I --cJ ~ ~turev / Date $4,00 $41,00 $3,60 $10,00 $3,15 $61.75 $61,75