HomeMy WebLinkAboutPermit Mechanical 2001-11-30SPRINGFIELD
Job# 01-01330-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Pagel of2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2045 00002nd St Spr
AssessorsMap#: 17032624
Lot: Block: Addition:
Job Number: 01-01 330-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00401
Subdivision:
ffi
ctTY oF SPRilNGFfiELq OREGON
Owner: Roger Henderson
Address: 2045 Znd Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-746-6794
Springfield, OR97477
Value: $0
Contractor Type
Mechanical Contr
Contractor
James Heating - Chittim Enterprises
1 15 Lawrence St, Eugene, OR 97401
Registration #
47396
Expiration Date
3/B/05
Phone
541461-2101
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 at726-3769. 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 Mechanical -Prior to cover
Gas Service -After line is installed and line has been conn
FinalMechanical -When all mechanicalwork is complete
NOTICE:
construction rypeJHlS PEHMI7 SHALLEXP'RE,F THEWORKoccupancy GToupSUTHORZED UNDER
IS NOT# of Buildings: COMMENCED
'" "!
*i, :'
:ffiOH,S
# Of Bedrooms: ANy 1g0 DAy PER'OD
Handicap Access? [Census Code: Does not apply
Main
(Sq. Feet)
Accessory:Total:
Proposed Units:
Job# 01-01330-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
Mechanical
1113012001
1113012001
11t3012001
11t30t2001
73BB
73BB
73BB
7388
1 $45.00
$3.60
$10.00
$3.1s
$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
requested at the proper time and that the project address is readable from the street.
ignature
$61.75
- 3c)-a I