HomeMy WebLinkAboutPermit Mechanical 2001-03-26SPRINGFIELD
Job# 01-00287-01
RESIDENTIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safety
Addition
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1430 Vera St Spr
AssessorsMap#: 17032432
Lot: Block:
Job Number: 01-00287-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00800
Subdivision:
ctrY oF SPRiNGFiELD, OREGON
Owner: B J Brandt
Address: 1430 Vera Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-746-2543
Springfield, OR97477
Vatue: $O
lnstalling gas furnace & Elect. Heat Pump
Contractor Type
MechanicalContr
Contractor
Home Comfort Heating & Air Condit.
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
612512001
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
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
MechaniCal
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups:
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tet
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory Total:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Job# 01-00287-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
0312612001
0312612001
0312612001
0312612001
0312612001
03t26t2001
4765
4765
4765
4765
4765
4765
$2.00
$13.00
$.4s
$.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
req at the proper time and that the project address is readable from the street.
re Date
$26.s0
3-eA -o/