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HomeMy WebLinkAboutPermit Mechanical 2000-6-12 .. ' ....~ f ."" . I Job# 00-00922-01 I . Page 1 of2 TRANS#:01-0002110 DATE:JUN 12 2000 AMT RECD:1 $ 40.00 CHANGE:$ 13.50 CASHIER: 061 SPRINGPIELD ~ 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 ,.........~1.~. !~ . ""':~)~:-:''''.2~2''4.4). - 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. /. I . .' .. " . Job# 00-00922-01 . Page 2 of 2 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