HomeMy WebLinkAboutPermit Mechanical 2002-8-28
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I Job# 02.()1023.()1 I
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TRANS#:01-0010462 I
DATE:AUG 28 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:003
SPRINQFIELD
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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:
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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
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Job# 02-01023-01
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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