HomeMy WebLinkAboutPermit Mechanical 2000-11-21
~. \' ~
.
I Job# 00-01701-01 I
-
.......
Page 1 of 2
TRANS#:01-0003843
DATE: NDV 21 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
SPRINGPIELD
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01701-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1634 Harbor Dr Spr
Assessors Map#: 18030232
Lot: Block: Addition:
Tax Lot #: 02300
Subdivision:
Owner:
Bev Partidge
1634 Harbor Dr
Phone Number: 541-744-6299
City/State/Zip: Springfield. OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
replace electric air handler
Contractor Type
Mechanical Contr
Contractor
Associated Heating and Air Cond
PO Box 412, Eugene. OR 97440
Registration # Expiration Date
Phone
541-683-2590
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
To request an inspection call the 24 hour recording at 726-3769. AII~nspections requested before 7:00
a.m. will be made the same working day, inspections requested after\7,06l:';~will be made the following
working day. THIS PERMIT SHALL EXPIRE IF THE WORI<
R . d I t' ^ UTuncl7<::n 11~lni:1:l TI-llt: Pi=i=lMIT Ie: NOT
eqUlre nspec Ions
Mechanical CyfvlMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
ATTF.r\,!TfO"':a~eg(,:1lel\'reql'ir:::s you to
# Of Storie~: fOllott~'&~~U~l(,ni?d bytheOrepon Utility
Current Units: Notifi~~~R.P,?.::!l~(\:!r!l!~,:Dse rules are set lorth
Census Code: Does not aPp'!y,R 952-001-001 U ihrough OAN 952-00'1-
0090. You may obtain copias of the rules by
Total: calling ,he c::.nter. ;1\iOtd: thatalaphol18
,~. _AL ~".~ _ _ _ I u.~l~~.. c..1_.:'~__.:__
........._". ._. ..._ _ _ 'HJ. ._....__..~u
Center is 1-800-332-2344).
.
~'.
.
Job# 00-01701-01
.
Page 2 of2
ValuelQuantity Fee Amount
Fee
Paid On Receipt#
Mechanical
11/21/2000 3843
11/21/2000 3843
11/21/2000 3843
11/21/2000 3843
11/21/2000 3843
1
$11.00
$.45
$4.00
$10.00
$1.05
$26,50
Minimum Mechanical Permit
Mechanical Administrative Fee
10,000 Cubic Feet or Less
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
:~e:~:~ P:~~~Q t~oject address is readable from the street. \ \ _ fll- on
Signature l.) Date
$26,50