HomeMy WebLinkAboutPermit Mechanical 2000-11-20SPRINGFIELD
Job# 00-01696-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
IRf,NE*:01-0003918
DATE:NCIU TO ?OOO
Al,lT REID:I $ 40.00
IHANEE:$ 1].50
IASHIER:059
h,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1322 00030th St Spr
AssessorsMap#: 17023034
Lot: Block: Addition:
Job Number: 00-01 696-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00800
Subdivision:
ctTY oF SPRfiNGFIELq OREGON
Owner: Patrick Environmental
Address: 1322 30th st
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
Springfield, OR 97478
Value: $0
Contractor Type
MechanicalContr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration #
460
Expiration Date
6127t01
Phone
541-726-0100
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.
Required lnspections
Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanica!
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
-Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tet
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
Job# 00-01696-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanica!
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Equipment Not ltemized on Permit
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
11120t2000
1112012000
11t20t2000
1112012000
11t2012000
11t20t2000
3838
3B3B
3838
3838
3838
3838
$4.50
$.45
$6.00
$4.50
$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 proper time and that the project address is readable from the street.
re Date
$26.50
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