HomeMy WebLinkAboutPermit Mechanical 2000-6-12
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I Job# 00-00922-01 I
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TRANS#:01-0002110
DATE:JUN 12 2000
AMT RECD:1 $ 40.00
CHANGE:$ 13.50
CASHIER: 061
SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00922-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3751 Jasper Rd Spr
Assessors Map#: 18020613
Lot: Block: Addition:
Tax Lot #: 09600
Subdivision:
Owner:
Scott Ward
3751 Jasper Rd
Phone Number: 541-747-1543
City/State/Zip: springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
install ground level gas a/c
Contractor Type
Mechanical Contr
Contractor
AUTOMATIC HEAT CO.
3675 FRANKLIN BLVD., EUGENE, OR
97403
Registration # Expiration Date
0000439 10/2/2001
Phone
541-726-7654
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
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 before 7:00' .
a.m. will be made the same working day, inspections requested after 7:00 a:ml'~ WUI'llil{tM8g't\\~li6)i~~8b'lres you to
working day.. IPi uw ru as aoopteo by me uTegon Utility
IntlflcallOrl Center. Those rules are set forth
Required Inspections :,''.~ . :.::.:: :::~ ::;: ~:tlVU~;' ~~I--:::~'-~~;_
Mechanical -- -I Joeo, YOI) may obtain copies of the rules by
call1np the center. (Note: the telephone
number tor the Oregon Utility Notification
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- Prior to cover.
-When all gas work is complete.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ Mam: Accessory:
NOTICE:
# Of Stories: H~i~ (~eet):
Current Units: 1 ~~P'g~~1 L~lW:LL EXPIRE IFTHEWORK
Census Code: Does not applyAU I HORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Total: I ANY 180 DAY PERIOD.
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Job# 00-00922-01
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Fee
Paid On Receipl#
Mechanical
06/12/2000 2110
06/12/2000 2110
06/12/2000 2110
06/12/2000 2110
06/12/2000 2110
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
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.
1
$9.00
$.45
$6.00
$10.00
$1.05
$26,50
$26,50
Signature
Date