HomeMy WebLinkAboutPermit Mechanical 2001-04-06Page 1 of 2
SPRINGFIELD
Job# 01 -00332-01
RESIDENTIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safety
Addition
CHANGE:
ffi'.'225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 995 Water St Spr
AssessorsMap#: 17033522
Lot: Block:
Job Number: 01-00332-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot #: 08800
Subdivision:
ctTY oF sPRtntGFtEL4 OREGON
Owner: Susan Goodyear
Address: 995 Water Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
Springfield, OR97477
Vatue: $O
Contractor Type
MechanicalContr
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:
working daY.
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 inspections requested before 7:00
a.m. will be made the same working Oay, ins[eltio"ns requested after Z:00 a'm' will be made the following
Required lnsPections
Rough Plumbing
FinalPlumbing
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
Plumbing
-Prior to cover.
-When allplumbing work is complete'
Mechanical I
-Prior to cover.
-After line is installed and line has been
-When allgas work is comPlete'
-When all mechanicalwork is complete
connected to a minimum of one appliance' Pressure tet
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:
Job# 01-00332-01
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Page? ot 2
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Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plum
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
04t0612001
04t06t2001
04t0612001
4856
4856
4856
$15.00
$1.05
$.45
$16.50
Mechanica!
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
04t0612001
04t0612001
04t0612001
04t0612001
04t0612001
04t0612001
$2.00
$7.00
$.45
$6.00
$10.00
$1.05
$26.s0
4856
4856
4856
4856
4856
4856
1
1
$43.00Grand Total
By signatu re, 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 allwork
performed sha ll be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oreg on. I further state that only contractors and employees who are in comPlia nce with
ORS 701.055 will be used on this Project I further agree to ensure that all required insPections are
uested at the Pro me that the project address is readab le from the street.q
DateSignature
1