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HomeMy WebLinkAboutPermit Mechanical 2000-06-14SPR!NGFIELD Job# 00-00941 -01 RESIDENTIAL PERMIT Caty Of Springfield Community Services Division Building Safety Page 1 of2 TRANS*:01-0002145 DATE:JUN 14 IOOO Al.lT REID:Z $ 26.50 CHANEE: CASHiER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2243 00020th St Spr Assessors Map#: 17032443 Lot: Block: Addition: Job Number: 00-00941-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 01700 Subdivision: clTY oF SPRINGFIELD, OREGON Owner: Delvin Phillips Address: 2443 20th st Scope Of Work: Mechanical Phone Number: City/State/Zip: Addition 541-746-4730 springfield, OR Value: $O Contractor Type MechanicalContr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Home Comfort Heating & Air Condi Po Box 24205, Eugene, OR 97402 Land Use: Zoning Code: Bedrooms: Range: No M{}tration *IHls sryA(( Dav oB/s Expiration Date 612512001 Heat Source: Sq. Footage: Phone 541-345-2838 Group To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Mechanicil Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? -Prior to cover. -When all mechanicalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply (Sq. Feet) Main:Accessory:Total: lft, Job# 00-00941-01 Page? of 2 Fee Paid On Receipt# ValuelQuantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 06t14t2000 06t14t2000 06t14t2000 06t14t2000 06t14t2000 2145 2145 2145 2145 2145 1 $e.oo $.4s $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 requested a th project address is readable from the street. Date $26.s0 &zs'&