HomeMy WebLinkAboutPermit Mechanical 2000-8-7
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Job# 00-01196-01 I
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Page 1 of 2
TRANS#:01~0002840
DATE:AUG 07 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 059
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Com-nunity Services Division
Building Safety
Job Number: 00-01196-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposo/d Site: GiiG Lac:,.,. 2:1 Ave Spr
Assessors Map#: :~ 7032724
Lot: :, Block: Addition:
Tax Lot#: 02100
Subdivision:
~
AS-.
cr' .,
~~
~~<::?{{;-
~ # ~(j
{f <<<<I,ffJ
S;:f~ J'
' i7 r$' 50~' _
Contractor Type C9ntr~0~ <::?"\ ^' o~~!>!ion # Expiration Date
.~. ~ ~ rt: 0" .....'" "l:,.s:> -,
Electrical Contr ~dP ~c\r;i9 InCj 9:" ",'" ~TJ~ /f-<:> 3/14/04
C~4060 '4V11<Dl ~ E", ~,OR 9740# ~ ~q, ~ ~ .$'0.&'
~ .0' (f J:' ->.. !> cr ~ 0 ~ ,'/!'$
Mechanical Conti., ~rto~ ~m[g)1HeDllnq & ,I\,r Con1-it*~ ~'O"~"'I~r!F 6/25/01
PQ>B\lS24~5, Euse",' CFi 974f}2J;i $ p,O 9i~~;;:.:
,I r, .A. ... t' ,.... !:" .~0 ~ ~ to..Y
~ 0 ~~ 6""- ~' ,y.~:I n
_. -- . f~ft ~@,.~G~ ,.f.'
a I:."",r;:,~~~n
uad Area: Lanlo"tJ~e:~ }5:ff ". _~ r"
.q,' ('J,u;::'" 0 0 0-~ c
# Of Units: ~<l')I'l.,g'~o~: ~ ~ cr ,r:-
Constr. Type: !'2c~~~ ~ 1l;(!J ~q, .,
~ .~v^"UJ- :O::>:t::- ~ .'
Water Heater:: R;/)"l$\S' ~O ~....f?; /.
, ~.'C C-"'" ^
. . 0~S;'~0 ~
To request an inspection call tho 24 hour rr',-,':ding a{'17.~-3769. All inspections requested before 7:00
a.m. will be made thE') same working day, in r ,'clions requested, after 7:00 a.m. will be made the following.
working day.
Owner:
Tom Smith
.
Phone Number: 541-736-5501
Address:
889,i1ochhaven
City/State/Zip:
springfield, OR 97477
Value: $0
Scope Of Work: Mechanical
heat PUll1,
Alteration
Phone
541-687-5770
541-345-2838
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Final Electrical
Reqllir~d Inspections
Electrical
- When oil 0:00" . ,: '.'JorK is complete.
Final Mechanical
Mechanical
~ \!Vhe:l 3!1 mE:' 1, ~J! '.".'ork is comp!e~e.
.'
.
'i'r"
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms: ,
Handicap Access? 0
iArea (Sq. Feet) .
I Main: Accessory:
Fee
Branch Circuits W/O. Feeder or Ser'li:: ~
State Surcharge For:Electrica; Per:,..:
Electric Administrative Fee
Total Electrical
Minimum Mechanical Permil
Mechanical Adminisltative Fee
Less than 100,000 BJU
Unit/Heater
Mechanical Issuance
State Surcharge FoOvlechani:;al PC'11.'
Total Mechanical
Grand Total
By signature, I state ami agree that I hav," ,
hereby certify that all. information Iierein i' ,
performed shall be dbne in accordance v "
the State of Oregon.;' I further state IIlat ( .
ORS 701.055 will be used onlhls projeGL ,
requested at the proper lime Clnd Ic,atl"e "
Signature
Job# 00-01196-01 I
II Of Stories:
Current Units:
C:ensus Code: Does not apply
Total:
Paid On Receipt#
Electrical
08/07/2000 2840
08/07/2000 2840
08/07/2000 2840
Mechanical
08/03/2000 2769
08103/2000 2769
08/03/2000 2769
08/03/2000 2769
08/03/2000 2769
08/03/2000 2769
.
Page 2 of2
Height (feet):
Proposed Units:
Value/Quantity
I
1
1
1
:ully examined the completed application and do
, and correct, and I further certify that any and all work
:,', Ordinances of the City of Springfield and the Laws of
'.."trac'ors and employees who are in compliance with
.lrther agree to ensure that all required inspections are
:ecl address is readable from the street.
Date
Fee Amount
$35.00
$2.45
$1.05
$38.50
$3.00
$.45
$6.00
$6.00
$10.00
$1.05
$26.50
$65.00