HomeMy WebLinkAboutPermit Mechanical 2001-10-31SPRINGFIELD
Job# 01-01212-01
COMMERCIAL PERM!T
Gity Of Springfield
Community Services Division
Building Safety
Page 1 ol 2
Job N umber: 01 -01212-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01600
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1065 00028th St Spr
AssessorsMap#: 17023122
Lot: Block: Addition:
ctrY oF SPRiNGFIELD, OREGOTV
Owner: AT&T
Address: 1600 SW 4th Ave
Scope Of Work: Mechanical
Gas piping for generator
Phone Number:
City/State/Zip:
New
503-
Portland, OR 97204
Value: $O
Contractor Type
Mechanical Contr
Gontractor
CommercialAir lnc
1 665 lrving Rd, Eugene, OR 97 402-2479
Registration #
1 1 0075
Expiration Date
1211812001
Phone
541-461-4821
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. 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.
Rough Gas
Gas Service
FinalGas
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Required lnspections
-After line is installed and line has been
-When allgas work is complete.
# Of Stories:
Current Units
Gensus Code:Does not
te:
Area (Sq.
Main:Accessory:Total
Mechanical I \o
w
toconnected
b.l
Job# 01-01212-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
1013112001
1013112001
1013112001
10t31t2001
1013112001
7143
7143
7143
7143
7143
1 $4.00
$41.00
$3.60
$10.00
$3.15
$61.75
Grand Tota!
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
req at the and that the project address is readable from the street.
Date
$61.7s
,/c-j/-o t