HomeMy WebLinkAboutPermit Mechanical 2000-01-24SPRTNGFIELD
Contractor Type
MechanicalContr
J
Job Number: 00-00099-01
Office: 226_3259
lnspection Line: 726-376g
Tax Lot#: 01902
Subdivision:
541-726-6588
Springfield, OR 97477
Value: $0
Paoe 1 of 2
AN 11_!!00,/1: I0 FI',iiS 10.00
,. -_nEIt:100-00000-4ts60is : 01-0000i41/JAHEs HEfliTNE
J0ES:00-00099_01
RESIDENTIAL PERMIT
City Of Springfietdcommunity Services Division
Buitding Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 430 S O0O37TH pt
AssessorsMap#: 11023143
Lot: Block:
Owner: Thad Cowin
Address: 430 S. 37th ptace
Scope Of Work: Mechanical
Heat Pump
spr
Addition:
Phone Number:
City/State/Zip:
New
Contractor
James Heating
x,x,x
Registration # Expiration Date phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
4RSE
Office [Jsg _
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00a.m. will be made the same working day, inspections requested after 7:00 a.m. will be mioe tne rotiowing
working day.
Rough Mechanical
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:
Required lnspections
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
01t24t2000 341Minimum Mechanical Permit $1 1.00
CITY OF OREGON
Job# 00-00099-01 Page2 of 2
Fee Paid On Receipt# ValuelQuantity Fee Amount
Mechanical
Mechanical Administrative Fee
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge For Mechanical Permit
Tota! Mechanical
01t24t2000
01t24t2000
01t24t2000
01124t2000
341
341
341
341
1
$.45
$4.00
$10.00
$1.05
$26.50
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 proper time and that the project address is readable from the street.
Grand Total
Signature
$26.50
/-24-oo
Date