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HomeMy WebLinkAboutPermit Mechanical 2000-07-10SPRINGFIELD Job# 00-01074-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 00-01 074-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00307 Subdivision: TRANS*:01-0002518 DffTE:JUL 1O 2OOO Al4T RE[D:? $ ??.50 IHflNGE: [A$HIER: O3T 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1462 Vera Dr Spr AssessorsMap#: 17032432 Lot: Block: Addition: clTY oF sPRtmGFtEL4 OREGON Owner: Greg West Address: 1462 Vera Drive Scope Of Work: Mechanical Phone Number: Gity/State/Zip: New 541-736-9525 Springfield, OR97477 Value: $O Contractor Type MechanicalContr Contractor Home Comfort Heating & Air Condit* Po Box 24205, Eugene, OR 97402 Registration # 84164 Expiration Date 6125101 Phone 541-345-2838 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Mechanical -Prior to cover. -When all mechanicalwork is complete .THISPERMTSHAL/ n:Uijj::#,.rmuro#lANY lSODAYPEROD. # Of Stories: Height (feet): Current Units: Proposed Units: Gensus Code:Does not apply Accessory:Total: JU c Job# 00-01074-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 0711012000 07110t2000 07t10t2000 07t10t2000 0711012000 2518 2518 2518 2518 2518 1 $9.00 $.45 $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 project. I further agree to ensure that all required inspections are address is readable from the street. Signature Date $26.50 .a -eo