HomeMy WebLinkAboutPermit Mechanical 2001-11-16
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SPRINGFIELD
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225 North Fifth Street
Springfield, OR 97477
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1 Job# 01-01266-01 I
Page 1 of2
TRANS#:01-0007264
DATE:NDV 16 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01266-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1835 E Pioneer Parkway St Spr
Assessors Map#: 17032623
Lot: Block: Addition:
Tax Lot #: 02301
Subdivision:
Owner:
Pan Pacific Properties
1811 Pioneer Parkway East
Springfield, OR 97477
Value: $0
Address:
Phone Number: 541-741-1691
City/State/Zip:
Scope Of Work: Mechanical
Su Azteca Taqueria
Installation of approved type I hood with approved grease filter
Contractor Type
Mechanical Contr
New
Contractor
Restaurant Equipment of Lane Count
521 HWY 99, Eugene, OR 97402
Registration #
96120
Expiration Date
6/30/2002
Phone
541-688-3911
Office Use
Land Use: ti~f B~lflit'flS~~
Zoning Code: ~01\iC\?. S"\j:..\l..~~~a~\~O
Bedrooms: I-\\S~E.f\\'J\~ ~ot1'l~tr:~OfOR
Range: '..srnOf\\tE.O_D a\~<J..~~e:
.... ~ljt;;:f-
To request an inspection call the 24 hour recording at 726-3769. (~lDi\ii\~e<<ljR'l~IiIQ\Q,~ied before 7:00
a.m. will be made the same working day, inspections requested a~'7:l%la~m: will be made the following
working day.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
Required Inspections
Mechanical- - -I
- Prior to cover.
-When all mechanical work is complete.
W requires yoU te
-rT' -NTiON:oregon la Oregon Utility
;;:., I to. d ted by the t lorth
lo\low r.ules ~n~~r. Those rules are ::2-001-
~oti~~~~~_~01_001? t~r~~g~ ~~~e rules by
# Of Stories: In 090 You may IHelgh!;(fijWt):" telephOne
00 . ..or h~()\""" ,v'I' tion
Current Units: call',ng the ceproposedIUnits:Ot"ca
,t Ortl\J\J1'o."",
Census Code: Doesrliotrapply1e. 1 800-332-2344).
..-' CenleflS-
Total: I
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
["Area (Sq. Feet)
I Main: Accessory:
.-,
-
Job# 01-01266-01
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Page 2 of 2
Fee
Paid On Receipt#
Mechanical
11/16/2001 7264
11/16/2001 7264
11/16/2001 7264
11/16/2001 7264
11/16/2001 7264
Value/Quantity
Fee Amount
Hood and Exhaust
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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
requested at the proper time and that the project address is readable from the street.
c.~'W.J~- j/-/rt,-O!
Signature Date
1
$9.00
$36.00
$3.60
$10.00
$3.15
$61.75
$61.75
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