HomeMy WebLinkAboutPermit Mechanical 2000-7-6
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I Job# 00-01054-01 I
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Page 1 of2
JUL 06 2000/9:11 AM/$ 10.00
ACCT#:100-00000-425602
T#:Ol-0002467/AUTDMATIC HEAT
JDB#:OO-01054-01
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CITY OF SPRINGFIELD~ OREGON
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01054-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4739 Main St Spr
Assessors Map#: 17023242
Lot: Block: Addition:
Tax Lot #: 02200
Subdivision:
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Owner:
Terri & John Benefiel
4739 Main Street # 1
Phone Number: 541-746-1399
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
AUTOMATIC HEAT CO.
3675 FRANKLIN BLVD., EUGENE, OR
97403
Registration #
0000439
Expiration Date
10/2101
Phone
541-726-7654
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 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 Inspections
Mechanical
Rough Gas
Rough Mechanical
Final Gas
Final Mechanical
- Prior to cover.
-When all gas work is complete.
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
Job# 00-01054-01
Paid On Receipt#
Mechanical
07/06/2000 2467
07/06/2000 2467
07/06/2000 2467
07/06/2000 2467
07/06/2000 2467
07/06/2000 2467
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Page 2 of 2
Value/Quantity Fee Amount
I
1
$2.00
$7.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
1
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.
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Signature .
757 -6;00
Date