HomeMy WebLinkAboutPermit Mechanical 2001-05-04*rrn:I{Gft=t.O
Job# 01-00416-01
COMMERCIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 2
Job Number: 01-0041 6-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot #: 03900
Subdivision:
TRf;N5#: 0L-000516?
DATE: I'IAY 04 TOO1
Al{T Ht[fr: 2 $ i6 .50
IHANI:I;
TASHIER: OI,i
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1250 0001Bth St Spr
AssessorsMap#: 17032534
Lot: Block: Addition:
CITY OF SPR'A'G F7ELD, OREGON
Owner: Oregon DMV
Address: 1250 l8th Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
Springfield, OR97477
Value: $O
Contractor Type
MechanicalContr
Contractor
Harvey & Price Co
Po Box 1910, Eugene, OR 97440-1910
Registration #
77
Expiration Date
1013112002
Phone
541-746-1621
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
Rough Gas
Rough Mechanica!
SUB - Mechanical
FinalGas
FinalMechanica!
- Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
Height (feet):
Proposed Units:
# Of Stories:
Current Units:
Census Code: Does not apply
Accessory:Total:
Mechanical i
v
Job# 01-00416-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
5162
5162
5162
5162
5162
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
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
requested the proper
$26.50
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sig nature Date
05t04t2001
05104t2001
0510412001
05104t2001
0510412001