HomeMy WebLinkAboutPermit Mechanical 2000-08-18SPRINGFIELD
Job# 00-01274-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANES:01-0002959
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Al{T RE[D:2 $ 26.50
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1660 Mohawk Blvd Spr
AssessorsMap#: 17032531
Lot: Block: Addition
Job Number: 00-0127 4-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 05600
Subdivision:
ctTY oF SPRTNGFIELD, OREGO^
Owner: Twin Rivers Baptist Church
Address: 1660 Mohawk Blvd
Scope Of Work: Mechanical
replace existing furnace
Phone Number:
City/State/Zip:
New
541-746-4734
Springfield, OR97477
Value: $O
Contractor Type
Mechanical Contr
Contractor
Andys HTG & AC
220 Ruby Av, Eugene, OR 97404
Registration # Expiration Date Phone
541-461-1282
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
you toTo request an inspection callthe 24hour recording at726-3769
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
-When all gas work is complete.
-When all mechanicalwork is complete
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# Of Stories: .J-ON St
Current Units: ),UOM
Census Code: Does not ap
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Main:Accessory:Total:
a.m. will be made the same working day, inspections requested
working day.
Required
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Job# 00-01274-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
More than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
0B/1 B/2000
0B/1 B/2000
0B/1 B/2000
0B/1 B/2000
0B/1 8/2000
2958
2958
2958
2958
2958
$7.50
$.45
$7.50
$10.00
$1.05
$26.50
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
requested at the time and that the project address is readable from the street.
ature Date
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$26.s0
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