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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 f - {-ot timpgndlhat the project address is readable from the street./f J *, -*--=- sig nature Date 05t04t2001 05104t2001 0510412001 05104t2001 0510412001