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
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