HomeMy WebLinkAboutPermit Mechanical 2002-8-21
,
..
.
I Job# 02-01009-01 I
.
Page 1 of2
TRANStt:01-0010373
DATE:AUG 21 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01009-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1066 Fairview Dr Spr
Assessors Map#: 17032731
Lot: Block: Addition:
Tax Lot #: 00300
Subdivision:
Owner:
Address:
Maria Cortes
Phone Number: 541-747-7291
1066 Fairview Dr
City/State/Zip: Springfield, OR 97477
ou\~
New ao.Ultas'l U\iValue: $0
Ofl \'3'i'l t Ota~Ofl sa\ \Ot\fI
. ~.,Otag d 'O'J \"a ~as '3ta 51._00'1-
....,,\\,0 ""o\a. _~"tU ~,,~9 ,.c.'O'l
p.1 ,- tu\a"~ \at. \:':",fOU~~'- ~\"al~;'na.
Contractor \o\\O~~ .' ofl Cafl _oc,Reglstra~!ow# a\~,xPlratl!!n Date
",..,,1\\1 _ <\0'1 ,;~cov \"a\ ,,-,_'A\IU
Home Comfort Heating,&)Air Conaitio "o~~16!\,o\a-, .", ~\\6/25/2003
, ~~'" ~ ~a:, 1.,. '~\\,'~
PO Box 24205, Eugene:\OR 97,\02) cafl\at- "'Of' U\I ,,~AA1'
_"q\l. _ ,ha "'fa.... _'1?_-<-
- _1"l\\\\.-:;J,'.....:('\\'C.o>._...~i\\)\J-
Office~l:Ise ."', ,_
:(\u~\'"' CPf\""
Land Use:
Zoning Code:
Bedrooms:
Range:
Phone
541-345-2838
Scope Of Work: Heating System
Install gas furnace
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
Occupancy Group:
Heat Source: Gas
Sq. Footage:
Rough Gas
Rough Mechanical
Final Gas
Final Mechanical
To request an inspection call the 24 hour recording at 726-3769, All inspections reqUested~7:00
a,m, will be made the same working day, inspections requested after 7:00 a,m. will 'W~ 1I0wing
working day, . \. ~""~\~~ \\\11\\ \~ ~
ReqLlJ~\~oWtib~~ f, \u\~ ~~ ~~ ~(\~
.~\.\~_~,,:_ Ut. ~Q~~\)1.l1
I MeC~..~t.v \S """
-After line is installed and ci\B~\t~~~~~n appliance,
- Prior to cover, C\, ~\} \)~
-When all gas work is complb~'i
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Are.a (Sq. Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
..
.
Fee
.
Job# 02-01009-01
Paid On Receipl#
Mechanical
08/21/2002 10373
08/21/2002 10373
08/21/2002 10373
08/21/2002 10373
08/21/2002 10373
08/21/2002 10373
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
G~ndTotal /~ ,
..~~d
Signature
~~
.
Page,2 of 2
Value/Quantity Fee Amount
1 $4,00
$29,00
$3,60
1 $12,00
$10,00
$3,15
$61.75
$61.75
)(- ZJ/~d
Date