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HomeMy WebLinkAboutPermit Mechanical 2000-12-8 ----~ e I Job# 00-01765-01 I e- COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 TRANS~:01-0004000 DATE:DEC 08 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON Job Number: 00-01765-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3150 Main St Spr Assessors Map#: 17023100 Lot: Block: Addition: Tax Lot #: 00400 Subdivision: * Owner: Richard Ebert 3150 Main Street Phone Number: 541-726-3588 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Mechanical This is a copy with a new Application Number Contractor Type Mechanical ContI' Contractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: NOTiCE: Occupancy Group: Heat Source: THIS PERMIT SS!:1AlF' t:- Pt"i:<t': IFTHE WORK q. 00 age: ^ I ITUf"\DI7Cn I It>. ",,",CD TU.~ OCD~ /liT It:' f\1f"\T To request an inspection call the 24 hour recording at 726-3769, Allli;lspecflOhs':i'equesiei:trbefo7el7~mQ1FOR a,m, will be made the same working day, inspections requested after^Z:OOla,m,~iII:be:made the following working day. /"'i.". ........ LJ. " I '-I u.....L.f. Required Inspections Mechanical Rough Gas Rough Mechanical Final Gas Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: -Prior to cover. , ATTE;\r:O\':C:~sO"" ~2" '~!::u':es you +c- - When all gas work IS complete, f II I d' -" h 0 Llt"'t -When all mechanical work is compiete, o. ow ru a~" OPi~C. ::l't!. f r:lOOn I,i I' NOtlflcatlor. Cenis., I nose rules ~re set YO,"I, in OAR 852-00"i-001 Ci ihrough OArl952-uO'/- 0090, You may obtflin copies of the rules by callillg '1he l.:t>n!ClI. ;,'jotd: :ha talaphone nUlllbClrfoi'thaOr0g011 Utility Notification H~,u"t'(f'''t),:,n 1-""'Q-""'44) elgll' ee . '-.... ""...._ _v . Proposed Units: # Of Stories: Current Units: Census Code: Does not apply Total: ~ " . Job# 00-01765-01 . Page 2 of2 Fee Paid On Receipt# Mechanical 12/08/2000 4000 12/08/2000 4000 12/08/2000 4000 12/08/2000 4000 12/08/2000 4000 Value/Quantity Fee Amount Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total 1 $9,00 $.45 $6,00 $10,00 $1,05 $26.50 $26.50 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 timrf~d that the project address is readable from the street. ~.t'};Jj ()X7 Ul J n/VI Signature'- 'O~ --=------ ;;)gfou f Date