HomeMy WebLinkAboutPermit Mechanical 2000-12-1 (2)
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I Job# 00-01746-01 I
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Page 1 of 2
TRANS#:01-0003939
DA TE : DEe 01 2000
AMT RECD:2 $ 54.56
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01746-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4190 franklin Blvd Spr
Assessors Map#: 00000000
Lot: Block: Addition:
Tax Lot #: 00000
Subdivision:
Owner:
Skillern Investments
PO Box 714
Phone Number: 541-746-8601
City/State/Zip:
Springfield, OR 97477
Value: $1,500
Address:
Contractor Type
Mechanical Contr
Scope Of Work: Mechanical Alteration
Install gas radiant heating in auto shop
Shop ceiling shall be insulated with minimum R-19 insulation & heating system shall have
m~lXimllm ~At noint r:;:mRr:itv of f)f) rtAnrAA~ F.
Contractor
James Heating
115 Lawrence St, Eugene, OR 97401
Registration # Expiration Date
Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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.
Required Inspections
Building I
Ceiling Insulation
- Prior to cover.
Mechanical
Rough Gas
Rough Mechanical
SUB - Mechanical
final Gas
Final Mechanical
- Prior to cover.
- When all gas work is complete.
- When all mechanical work is complete,
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I Job# 00-01746-01 I
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Building
12/01/2000
12/01/2000
12/01/2000
Value/Quantity
I
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
1,500
$25,50
$1.79
$.77
$28.06
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
12/01/2000
12/01/2000
12/01/2000
12/01/2000
12/01/2000
12/01/2000
1
$2.00
$1.00
$.45
$12,00
$10.00
$1.05
$26.50
$54.56
2
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Structural-C/I/P
Lorne Pleger
12/01/2000
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 empioyees 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.
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DUPLICATE RECEIPT DUP~'ICATE'RECEIPT ' \,
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CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 )726-3753
I ==================================:=====
WELCOME TO DEVELO~MENr
SERVICES AND PUBLIC WORKS
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..----- - ------ ----------- --- - ----- -- -- ---
REG-RECEIPT:OI-0003939 C:DEC 01 2000
CASHIER 10:003 1 :55 pm A:DEC 01 2000
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-------- --- --- ------ ----------- ---- -- - ..-
1006 MECHANICAL PERMIT $15.00
JOB#:00-01746-0i
1099 STATE SURCHARGE(7%) $1.0S
JOB#:00-01746~01
1098 ADMIN FEr(3%) $0.45
JOB#:00-01746-01
10B7 MECHANICAL ISSUANCE $10.00
JOB#:00-OI746-01
1002 BUILDING PERMIT $2:;.50
JOB#:00-01746-01
1099 STATE SURCHARGE(7X) $1.79
JDB#:00-01746-01
109B ADMIN FEE(3%) $0,77
JDB#:00-01746-01
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TOTAL DUE $54,56
RECEIVED FROM:
JAMES HEATING AND AIR
CHECK: $54 .56
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TOT AL TENDERED $54.56
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CHANGE DUE $0. DO
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*Pay Name :JAMES HEATING AND AIR
*Mail Addr :115 LAWRENCE ST
*Cly/Sl/Z :EUGENE OR 97401
*Site Addr :4190 FRANKLIN BLVD
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THANK YOU!!!!!!
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L DUPLICATE RECEIPT DUPLICATE RECE1PT
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