Loading...
HomeMy WebLinkAboutPermit Mechanical 2000-09-05SPRINGF!ELD Job# 00-01344-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of2 TRANSS:01-0003114 DffTE:SEF 05 ?OOS AHT RECD:? $ 26.50 IHANGE: IASHIER:06]- 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3145 Partridge Way Spr AssessorsMap#: 17032213 Lot: Block: Addition Job Number: 00-01 344-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 07500 Subdivision: ctTY oF SPRiNGFTELD, OREGOI' Owner: Sandy Reedy Address: 3145 Patridge Way Scope Of Work: Mechanical change out gas furnace Phone Number: City/State/Zip: New 541- Springfield, OR97477 Value: $0 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. All i a.m. will be made the same working day, inspections requested after working day. Required lnspections Mechanical ?:r8ffi Lffit?':3i,T:t:,',,"a,',," THIS PERI\4IT SHALL EXPIBE IF'THE WORK AUTHORIZED IINDF'FI S PFRIV1ITI.S NOT COMMENCED OR ISABANDONED FOR ANY 180 DAY PERIOD.Rough Mechanical FinalMechanical Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? - Prior to cover. -When all mechanicalwork is complete # Of Stories: Gurrent Units: Census Code: Does Area (Sq. Feet) Main:calling the centor. (Note : the telephoneAccessory:Total: /-tantn' raw requlles you r, Job# 00-01344-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 09/05/2000 09/05/2000 09/05/2000 0910512000 09/05/2000 3114 3114 3114 3114 3114 1 $e.00 $.45 $6.00 $10.00 $1.05 $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 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 req proper and that the address is readable from the street. Date $26.50