HomeMy WebLinkAboutPermit Mechanical 2000-12-8
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I Job# 00-01765-01 I
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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:
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Job# 00-01765-01
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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.
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Signature'- 'O~ --=------
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Date