HomeMy WebLinkAboutPermit Mechanical 2001-8-31
...,.
r
1'1
"
.
I Job# 01-00939-01 I
.
Page 1 of2
TRANS#:01-0006575
DATE:AUG 31 2001
AMT RECD:2 $ 185.25
CHANGE:
CASHIER:003
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00939-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 7264 Elderberry St Spr
Assessors Map#: 18020221
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
Owner:
Address:
Jackie Rose
7264 Elderberry Street
Phone Number: 541-744-7978
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Mechanical
Replace furnace & upgrade to heat pump
Contractor Type
Mechanical Contr
Contractor
James Heating
115 Lawrence St, Eugene, OR 97401
Registration # Expiration Date
Phone
541-461-2101
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.
Final Mechanical
Required Inspections
I Mechanical
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Mechanical
08/31/2001 6575
Value/Quantity
Fee Amount
Fee
Minimum Mechanical Permit
$21.00
.,.
h
"
.
Job# 01-00939-01
.
Page 2 of2
Fee
Paid On Receipt#
Mechanical
08/31/2001 6575
08/31/2001 6575
08/31/2001 6575
08/31/2001 6575
08/31/2001 6575
Value/Quantity
I
Fee Amount
Administrative Fee - Mechanical
Less than 100,000 BTU
3hp - - 100,000 BTU
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.
~~~ A-~I-O\
1
1
$3.60
$12.00
$12.00
$10.00
$3.15
$61.75
$61.75
Signature
Date