HomeMy WebLinkAboutPermit Mechanical 2000-12-27SPRINGFIELD
Job# 00-01 830-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 302 Shelly St Spr
Assessors Map#: 17032710
Lot: Block:
Job Number: 00-01 830-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 07700
Subdivision:
ctTY oF sPRt tGFtEL4 OREGON
Owner: Commercial lnvestment Propert
Address: 1600 Valley River Dr
Scope Of Work: Mechanical
Gas line modification
Phone Number:
City/State/Zip:
Alteration
541-686-8080
Eugene, OR 97401
Value: $0
Contractor Type
MechanicalContr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration #
460
Expiration Date
6t27t01
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 callthe 24hour 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.
Required lnspections
Mechanical
Rough Gas
Gas Service
FinalGas
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-When all gas work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Main:Accessory:Total:
Job# 00-01830-01
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
12t27t2000
1212712000
12t27t2000
1212712000
1212712000
4121
4121
4121
4121
4121
1 $2.00
$13.00
$.45
$10.00
$1.05
$26.s0
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
req at the ti and that the project address is readable from the street.
Date
$26.50
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