HomeMy WebLinkAboutPermit Mechanical 2000-9-27
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I Job# 00-01456-01 1
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Page 1 of2
TRANS#:01-0003316
DATE:SEP 27 2000
AMT RECD:2 $ 26,50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01456-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1159 Janus St Spr
Assessors Map#: 17033421
Lot: Block: Addition:
Tax Lot #: 00308
Subdivision:
Owner:
Faye Kepler
1159 Janus St
Phone Number: 541-747-3059
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
install heat pump
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Condit.
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
6/25/2001
Phone
541-345-283B
Office Use
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
"rTENTlOII/:OregoSql\IjP.O~!lg!l;; you to
'UIIUW I U1t1" dUUfJltlU uy UIl;l urtlyufJ uUIIlY
To request an inspection call the 24 hour recording at 726-3769tifAllllnspectiohs'JeqllElStedlcefOOlf7Sllilorth
a.m. will be made the same working day, inspections requested)Jfjijri:V.:iQOJ~:m;JMIIIDI;W;IJ\IYl~f~~-
working day. 0090. You may obtain copiesofthe rules by,
R . d I ctallingthecenter.INote:thetele.Qhone
equlre nsp~fiJ~~n~r for the Oregon Utility Notification
Mechanical 'I ""t~..;, '.Qf)n-1~:'-~344).
-,
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
NOTICE:
# Of Stories: THIS PERMHeJg~t(!~tl:!RE IFTHE WORK
Current Units: AUTHORIZE!'J'~I?~~~ V~~~ERMIT IS NOT
Census Code: Doe~e,9MR!i'!.Y.JED OR IS ABANDONED FOR
Total: AN1180 DAY PERIOD,
~- 1
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Fee
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 1 00,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
Job# 00-01456-01
Paid On Receipt#
Mechanical
09/27/2000 3316
09/27/2000 3316
09/27/2000 3316
09/27/2000 3316
09/27/2000 3316
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Page 2 of2
Value/Quantity
Fee Amount
1
$9.00
$.45
$6.00
$10.00
$1,05
$26.50
$26.50
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
request/)~~~ pro'e 'dable from the street. ~L 2 7-6'0
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