HomeMy WebLinkAboutPermit Mechanical 2002-06-12t/
SPRINGFIELD
Job# 02-00690-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00690-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 15000
Subdivision:
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1348 Modoc St Spr
AssessorsMap#: 17032533
Lot: BIock: Addition:
ctTY oF SPRINGF7ELD, OREGOTV
Owner: Don Rose
Address: 1348 Modoc Street
Scope Of Work: Heating System
Replace heat pump and air handler
Phone Number:
City/State/Zip:
Repair
541-746-5319
Springfield, OR97477
Value: $0
Contractor Type
MechanicalContr
Contractor Registration #
Associated Heating & Air Conditioning lnc 106275
Po Box 412, Eugene, OR 97440
Expiration Date
8t31t2002
Phone
541-683-2590
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
$
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour recording at72.6-3769.
a.m. will be made the same working day, inspections requested
working day.
Required Inspections
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories:
Current Units:
Census Code: Does not
requested before 7:00
a.m. will be made the following
(feet):
Rough Mechanical
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
I
Accessory:Total:
Units:
.ro\
Group:
o\Source:
^(
19
Job# 02-00690-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanlcal
Less than 100,000 BTU
3hp-- 100,000BTU
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
06t1212002
06t1212002
06t12t2002
06t1212002
06t12t2002
06t12t2002
06t12t2002
9522
9522
9522
9522
9522
9522
9522
1
1
$25.00
$3.60
$12.00
$.00
$8.00
$10.00
$3.15
$61.75
$61.7shle2a
DateSignature
total
(_