HomeMy WebLinkAboutPermit Mechanical 2002-08-30d,P
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1275 Mill St Spr
AssessorsMap#: 17032633
Lot: Block:
Job# 02-01048-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of 2
Job Number: 02-01048-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 00800
Subdivision:
SPRINGFIELD
crTY oF SPRINGFIELD, OREGON
Owner: Salvation Army
Address: 1275 Mil Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-747-6229
Springfield, OR97477
Value: $O
Gas service add range and WH
Contractor Type
MechanicalContr
Contractor
Gas Appliance Service Co
1512W 2nd Ave, Eugene, OR 97402
Registration # Expiration Date Phone
122409 113012004 541-343-1159
Quad Area:
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
i\oa\:?;l
iS.vo.l
Office/Professiona
rCl eq
To request an inspection call the 24 hour
a.m. will be made
working day.
the same working day,
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
Required lnspections
-After line is installed and capped if not
-Prior to cover.
-After line is installed and line has been
-When allgas work is complete.
-When all mechanicalwork is complete
sE:
1 t{\s
AB
N01
appliance. Pressuretes
\S
r0R
1
180
-sN
Area (Sq.
Mechanical
Main:Accessory:Total
ar-
bY
a.m.
Construction Types(VN) Wood Frame
Occupancy Grou ps : Office/Professional/Rest
# Of Buildings: # Of Stories: Height (feet):
# Of Bedrooms: Current Units: Proposed Units:
Handicap Access? l l Gensus Code: Does not apply
Job# 02-01048-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
B% Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
08t30t2002
08t30t2002
0813012002
0813012002
o8t30t2002
1 0486
10486
10486
10486
10486
1 $4.00
$41.00
$3.60
$10.00
$3.15
$61.7s
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 I further that only contractors and employees who are in compliance with
.055 project. I further agree to ensure that all required inspections are
at that the project address is readable from the street.
$61.75
Date