HomeMy WebLinkAboutPermit Mechanical 2000-01-10€fr,
Job# 00-00027-01 Page 1 of 2
Job Number: 00-00027-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
&\
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 315 00005th St SPR
AssessorsMap#: 17033524
Lot: Block: Addition
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 14900
Subdivision:
clTY oF SPR7NGFIELD, OREGON
Owner: Wurtz & Logan
Address: 315 sth Street
Scope Of Work: Commercial
Phone Number: 541 -7 46-7 641
City/State/Zip: Springfield, OR 97 477
Remodel Value: $0.00
lnstall Heat Pump & Gas Furnace
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jsg
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording at726-3769. 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
Rough Gas
Rough Mechanical
FinalGas
FinalMechanical
Mechanical
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [ l
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
(sq.
Main:Total:
One to Four Outlets
Accessory:
01t10t2000 0000199 1 $2.00
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Job# 00-00027-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
01t10t2000 0000199
2
$1.00
$.45
$12.00
$10.00
$1.05
$26.50
By signature, I state and agree that I have carefully examined the completed application and do
hereSy certify that all information herein is true and correct, and I further ge^rtify t!?! ?ny and all work
perforined 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 wiil be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is lbcated at the fiont of the property, and the approved set of plans will remain on the site at all times
Grand Total
during con
re
$26.50
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Date