Loading...
HomeMy WebLinkAboutPermit Mechanical 2000-8-3 . I Job# 00-01196-01 I . RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANS~:01-0002769 DATE:AUG 03 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 ,~ CITY OF SPRINGFIELD, OREGON Job Number: 00-01196-01 225 North Fifth Street Springfield, OR 974'17 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 889 Lochhaven Ave Spr Assessors Map#: 17032724 Lot: ' Block: Addition: Tax Lot #: 02100 Subdivision: * Owner: Tom Smith Phone Number: 541-736-5501 Scope Of Work: Mechanical heat pump City/State/Zip: springfield, OR 97477 Value:t $0 ~ ' ~O j;)' J....:i!" t:;.,J 8' R 't t' # ~E~ .~t''''''<( D egis ra Ion " xplra Ion ate ~ " ~- 84164 /~ 6/25/01 v A....... -S-"" i7 _$ ::;"?' " '0' ~v ~ Office Use ii-":t t;:).::3 ~ #' Quad Area: Land Use: ~ q,$ 1f 47 q,<<:# Of Buildings: # Of Units: Zoning Code: ~ ,j? ~<f- # #- Occupancy Group: Constr. Type: Bedrooms:'<;: ~ r# c8><::) Heat Source: Water Heater: Range: CJO ~" Sq. Footage:; To request an inspection call the 24 hour recording at 726-3769. All insp;ctions requested,'ti~fo;~i9f~~ a.m. will be made the:same working day, inspections requested after 7:00 a.m. will be m!~de,th'e fOIl~$9-",~ s5' working day. , ...-" "C' ,/ i'l::-0 J:><[.S; .rt',~: ;1 0 '!!o.~ :.P'~ Required Inspections ,.: " @:J~''; fO~~~ i::\' flJ"'-' Q 0 ~ .~~,,.:.~~ I Mechanical ~. ~ J...~ ~ ~q 0' ~'d?" -When all mechanical work is complete. . ,..+ rSl~".s.f~~~~ttP~ I Ifd>~ ~J#.fo.~ r~. /:~'~~~u~ ~~ ~ '<:'~,i:'~~~ r1"# ~ ~~~~OK~~ ~'B:~' ~.It HellJflSi.iji'F Proposed ~its: 889' lochhaven Address: Alteration Contractor Type Mechanical Contr Contractor Iilome Comfort Heating & Air Condit" Po Box 24205, Eugene, OR 97402 Phone 541-345-2838 Final Mecha n ical Construction Types: Occupancy Groups: . # Of Buildings: # Of Bedrooms: Handicap Access? [J iArea (Sq, Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity I Mechanical I 08/03/2000 2769 Fee Amount Minimum Mechanical Permit $3.00 . . ; , Fee Paid On Receipt# Mechanical 08/03/2000 2769 08/03/2000 2769 08/03/2000 2769 08/03/2000 2769 08/03/2000 2769 Page 2 of2 Value/Quantity Fee Amount Job# 00-01196-01 ',.-1 Mechanical Administrative Fee Less than 100,000 BTU Unit/Heater Mechanical Issuance State Surcharge ForMechanical Permit Total Mechanical 1 1 $.45 $6.00 $6.00 $10.00 $1.05 $26.50 $26.50 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 SI1811 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 701.0 r. will be used on this project. I further agree to ensure that all required inspections are reques ~/ ~he~roject address is readable from the street. 5/J) Z>t:J Sig~ature /' Date