HomeMy WebLinkAboutPermit Mechanical 2000-06-29r
Job# 00-01028-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPRTTGFIELD
€n
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1919 00022nd St Spr
AssessorsMap#: 17032500
Lot: Block: Addition:
Job Number: 00-01028-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot#: 00204
Subdivision:
ctTY oF sPRtntGFtELq OREGON
Owner: Dennis Harlow
Address: 2222R Street
Scope Of Work: Mechanical
heat pumP
Phone Number:
City/State/Zip:
Alteration
541-7464062
Springfield, OR97477
Value: $O
Contractor Type
MechanicalContr
Contractor
Home Comfort Heating & Air Condit*
Po Box 24205, Eugene, OR 97402
Registration #
84164
, Expiration Date
6t25t01
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made
working day
Required Inspections
Mechanical
Rough Mechanical - Prior to cover,
FinalMechanical -When all mechanical work is complete.
the following
rosail
?
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? !
Area (Sq.
Main:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
h${
Job# 00-01028-01 Page 2 ot 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
06t29t2000
06/29/2000
06129t2000
0612912000
06t2912000
2390
2390
2390
2390
2390
1
$e.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 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.
Signature Date
s26.50