HomeMy WebLinkAboutPermit Mechanical 2000-8-3
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I Job# 00-01196-01 I
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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
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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 $0
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Office Use ii-":t t;:).::3 ~ #'
Quad Area: Land Use: ~ q,$ 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~
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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