HomeMy WebLinkAboutPermit Mechanical 2000-6-30
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Job# 00-01031-01
Page 1 of 2
TRANS#:01-0002399
DATE:JUN 30 2000
AMT RECD:1 $ 100.00
CHANGE:$ 73.50
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01031-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 737
Assessors Map#: 17033542
Lot: Block:
Main St
Spr
Addition:
Tax Lot #: 07500
Subdivision:
*.
Owner:
Address:
Dean Brule
737 Main St
Phone Number: 741-336-6
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Mechanical
Deano's new hood
Contractor Type
Mechanical Contr
Contractor
Restaurant Equipment of Lane Count
521 HWY 99, Eugene, OR 97402
Registration # Expiration Date
Phone
688-391-1
.; 1_,.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
'v"U~VrtjlPf ~ci"l)p"-' .. .~......... J........
Office Use" r "l'''1i ;;11'- "roOon VI' ,
, ...... ' .1' ,~ .. ,_' . '... , IIi! .
Land Use: 'OA~ ""'_" :' #OfBuildings: ,
Zoning Code:'09(J vn" nf;' ::"21\ 'I) .'Ocdupanc'yGroup:
callir', '. ' , lJIP' , ,. " "_.
Bedrooms: ' ,,( ;--"":""' 't, HeatSource:l
'1nmhe " . L. '1/' I"~ I ,.- .
Range: ,r or th'" ::':1-'[11") f It:Sq.,Footage:'
..... '.~' ". I.,.. . 'O.~lI('~,-;.....
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,
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Rough Mechanical
Final Mechanical
Required Inspections
Mechanical I
-Prior to cover. "V / 'l,;E:
-When all mechanical work is comple!.lj~M/TSHALL
AUTHORIZED UNO EXPIRE IF THE WORK
COMMENCED OR I:RTHIS PERMIT IS NO-I'
ANY 180 DAY PER/O;BANDONED FOR
Construction Types:
, Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Job# 00-01031-01
Paid On Receipt#
Mechanical
06/30/2000 2399
06/30/2000 2399
06/30/2000 2399
06/30/2000 2399
06/30/2000 2399
Page 2 of 2
Value/Quantity Fee Amount
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Issuance
State Surcharge For Mechanical Permit
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 Ilurther certjfy 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.
Po #/
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1
$4.50
$10,50
$.45
$10,00
$1,05
$26.50
$26.50
0_30-00
Signature
Date
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