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HomeMy WebLinkAboutPermit Mechanical 2002-8-28 .~ '~ . I Job# 02.()1023.()1 I . Page10f2 -~ TRANS#:01-0010462 I DATE:AUG 28 2002 AMT RECD:2 $ 61.75 CHANGE: CASHIER:003 SPRINQFIELD ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-01023-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 444 Main St Spr Assessors Map#: 00000000 Lot: Block: Addition: Tax Lot #: 00000 Subdivision: ~ Owner: Mary Ann Ramback 501 NW 161st Circle Phone Number: 360-576-7644 City/State/Zip: Ridgefleld, WA 98642 Alteration Value: $0 Address: Scope Of Work: Mechanical Replacing roof-top package unit Contractor Type Mechanical Contr Contractor Pacific Air Comfort Inc 4680 Main Street, Springfield, OR 97478 Registration # 39237 Expiration Date 3/25/2004 Phone 541-342-5300 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Final Mechanical To request an inspection call the 24 hour recording at 726-3769. All inspec;ti.QI]~:requestedbl!forel<7.:003qullt.~ JU a.m. .will be made the same working day, inspections requested after 7:00,tf!1u\\,,!I~~jl.;rne~~!b~ to}Ic?~lngregon UtiIH.: working day. Notification Center. Those rules are set fo. R . dl t' :_r"\^~nl:'ln'\'fnn-tn+h"""II...hf"'\^Cor:;,')_n" equlre nspec Ions - . _ I M h . I I 0090. You may obtain copies of the rules t. ec anoca . .. calling the center. (Note: the telephone -When all mechanical work IS complete. number for the Oregon Utility Notification Center is 1-RI)(1-33?-2~441. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: l~lC~ # Of Stories: . 'f!li et : Current Units: A ~MALL EXPIRE IF THE WORK Census Code: Does not apply A ~B~ ZEfUNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Total: Fee Paid On Receipt# Mechanical 08/28/2002 10462 Value/Quantity Fee Amount Minimum Mechanical Permit $21.00 ,.;.~ .\.. . Job# 02-01023-01 . Page 2 of 2 Fee Paid On Receipt# Mechanical 08/28/2002 10462 08/28/2002 10462 08/28/2002 10462 08/28/2002 10462 08/28/2002 10462 Value/Quantity Fee Amount 8% Administrative Fee - Mechanical Less than 100,000 BTU 3hp - - 100,000 BTU Mechanical Issuance Slate 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 ~r~ t~~ the project address is readable from the street B- ~~-\~ Signature ~ Date 1 1 $3.60 $12.00 $12.00 $10.00 $3.15 $61.75 $61.75