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HomeMy WebLinkAboutPermit Mechanical 2001-12-6 I :I . . I Job# 01-01349-01 I Page 1 of 2 TRANS#:01-0007440 DATE:DEC 06 2001 AMT RECD:1 $ 100.00 CHANGE:$ 38.25 CASHIER: 061 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01349-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1835 E Pioneer Parkway St Spr Assessors Map#: 17032623 Lot: Block: Addition: Owner: Address: Tax Lot #: 02301 Subdivision: Pan Pacific Properties 1811 Pioneer Parkway East Phone Number: 541-741-1691 City/State/Zip: Springfield, OR 97477 Value: $0 Scope Of Work: Mechanical New Su Azteca Taqueria Install gas piping serving two appliances Contractor Type Mechanical Contr Quad Area: # Of Units: Constr. Type: Water Heater: ,\\,\J Contractor Registration.#:o'l'eicR,iration Date Phone te,Q,v" o~ V' . ~,.'I Ready Rooter / chapman plumb . .~3?24\~~co(eg le~<1'8/2B05 541-744-7991 88608 ermi bee rd, springfield,~ ~~\~4 7,l!.~~(l~:~~~e l~~e~~~ 9~~~s 'O'l . \ ~....... _ \0'='''- ~ \0" o\).~.. '\"'10 I ;{\0 . 'Offic'e\Uss,,~H" - \';11 . S 0\ ,,~o . ~o\',:' \\0" ,\_\)1,)'1": co'\lle e\e\e~. a.\IO~ Land\,~~~~ 9o'2:~fj ~ o'O\'O-\\~o\e',:~\'l ~O'if.'6f Buildings: Zonin!JIOOll&jo~ tt': ce~\61~r:!p~ U\\Z_~~i:cupancy Group: Bedroclfil~~~\\i~9\~01\~e?\_~Cla-'D~ Heat Source: Range: C,,{l\'Oe1' e~\el IS Sq. Footage: t'\u r. 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. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: Rough Mechanical Gas Service Final Mechanical Required Inspections I Mechanical I Of\Y- -Prior to cover. . E\f-n-\EIJIl 01 -After line is installed and line')Jits;jQll~bn'lgi\~~~~ym\'ii~ appliance. -When all mechanical work is CO"lgl~~,,^n ~OE?\\"I\S ~EOfO? 1:111\-\0?I'Z.E~~0? IS r>.\3r>.~OO CO,,^,,^'C.~C ?'C.?IOO. r>.~'i '\800r>.'i Height (feet): Proposed Units: Pressure te! # Of Stories: Current Units: Census Code: Does not apply Total: . I , Job# 01-01349-01 . Page 2 of 2 Fee Paid On Receipt# Value/Quantity r Mechanical 1 12/06/2001 7440 1 12/06/2001 7440 12/06/2001 7440 12/06/2001 7440 12/06/2001 7440 Fee Amount One to Four Outlets' Minimum Mechanical Permit Administrative Fee - Mechanical Mechanical Issuance State Surcharge - Mechanical Total Mechanical $4.00 $41.00 $3.60 $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 re:ot t~ ?-(t the project address is readable from the street. J?-/ /, /u ) _~rn ~