HomeMy WebLinkAboutPermit Mechanical 2001-11-26
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I Job# 01-01296-01 I
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Page 1 of 2
TRANS#:01-0007320
DATE:NDV 26 2001
AMT RECD:2 $ 61,15
CHA~!GE ;
CASHIER; 061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01296-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2090 Olympic St Spr
Assessors Map#: 17032542
Lot: Block: Addition:
Tax Lot#: 01501
Subdivision:
Owner:
Scope Of Work: Mechanical
City/State/Zip: Springfield, OR 97477
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Value: ,,~O-:
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Registration'#" EX~iratio'; Date"
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I i,-'A..'- ,I> '.X '~', ,,,\) 541-726-0100
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\ . / {, -i:/' ~- 0 #. Of:Suildings:
,0' ..~~ 0 .-.s:-\.."
_ .. -I. ...0' Qccupancy Group:
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" c&; : .? (;Heat Source: !l' &
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Water Heater: Range: - (.: Sq. Footage:~ ~
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To request an inspection call the 24 hour recording at 726-3769. All inspections requested be~~ /iiJ~O
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made ~ f~0~1rI9
working day. ' t! ~ 0
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Height (feet):
Proposed Units:
Kidsport
2090 Olympic Street
Phone Number: 541-683-2377
Address:
Repair
Replace three 5 ton units
Contractor Type
Mechanical Contr
Contractor
Comfort Flow
1951 Don Street, Springfield, OR 97477
Phone
Quad Area:
# Of Units:
Constr. Type:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Required Inspections
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Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. F..t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
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Job# 01-01296-01
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Page 2 of 2
Fee
Paid On Receipt#
Mechanical
11/26/2001 7324
11/26/2001 7324
11/26/2001 7324
11/26/2001 7324
11/26/2001 7324
Value/Quantity
I
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
3
$9.00
$3.60
$36.00
$10.00
$3.15
$61.75
$61.75
Grand Total
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
reZ7 time and that the project address is readable from the street. ///6~O /
s~2re- Date