HomeMy WebLinkAboutPermit Mechanical 2002-05-23Job#
SPRINGFIELD
RESIDENTIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00606-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 05400
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1763 00010th St Spr
AssessorsMap#: 17032641
Lot: Block: Addition:
Owner: Sam Lyons
Address: 1763 10th Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
541-736-8408
Springfield, OR97477
Value: $0
Change electric heat pump to gas system
Gontractor Type
MechanicalContr
Contractor
Seasons Heating & Air Conditioning*
975 Conger Street Suite B, Eugene, OR
97402
Registration # Expiration Date
1 02333 0t1t2002
1t
Phone
541-345-6656
Office
Land Use:Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour
a.m. will be made the same working day, ins
working day.
Rough Mechanical
Final Mechanical
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
. All inspections requested before 7:00
after 7:00 a.m. will be made the following
Required Inspections
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
p1
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:
# Of Stories:
Current Units
Census Code
,\
Accessory:Total:
CITY OF OREGON
ef
Job# 02-00606-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
05t23t2002
05t23t2002
05t23t2002
05t23t2002
05t23t2002
9209
9209
9209
9209
9209
1
$33.00
$3.60
$12.00
$10.00
$3.1 5
$61.75
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
requested at the time and that the project address is readable from the street.
Sign
$61.75
Date