HomeMy WebLinkAboutPermit Mechanical 2002-04-19SPRINGF!ELD
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2335
AssessorsMap#: 17023021
Lot: Block:
Owner: RL Schmidt
Address: 2335 31st Street
Scope Of Work: Mechanical
lnstallgas piping
Job# 02-00456-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
00031st St Spr
Addition
Phone
t$
Page 1 of 2
Job Number: 02-00456-01
Office:726-3759
lnspection Line: 726-3769
477
$0
# Expiration Date
8t31t2002
1O
Contractor Type
MechanicalContr
Contractor Phone
541-683-2590Associated Heating & Air Conditioni
Po Box 412, Eugene, OR 97440
crTY oF SPRINGFIELD, OREGON
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occ Group:
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made the same working day, inspections
working day
Requi
Gas Service -After line is installed and I
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
mum of one appliance. Pressure tes
7:00
the following
# Of Stories: Height (feet):
Current Units: Proposed Units:
Gensus Code: Does not apply
Total:
One to Four Outlets
Accessory:
0411912002 8660 $4.00
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
1
Job# 02-00456-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
04t19t2002
04119t2002
04119t2002
04119t2002
8660
8660
8660
8660
$41.00
$3.60
$10.00
$3.1 5
$61.75
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
at the proper and that the project address is readable from the street
$61.75
/tz/a-;#----,