HomeMy WebLinkAboutPermit Mechanical 2000-11-28SPRINGFIELD
Job# 00-01729-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 456 00040th St Spr
Assessors Map#: 17023114
Lot: Block: Addition:
Job Number: 00-01 729-01
Office:726-3759
tnspection Line: 726-3769
Tax Lot#: 03907
Subdivision:
GITY OF SPR7NGFTELD, OREGON
Owner: Norm Webb
Address: 456 40th St
Scope Of Work: Mechanical
heat pump
Phone Number:
City/State/Zip:
New
541-744-0299
Springfield, OR97477
Vatue: $O
Contractor Type
Mechanical Contr
Contractor
Seasons Heating & Air Conditioning*
975 Conger Street Suite B, Eugene, OR
97402
Registration #
1 02333
Expiration Date
101112000
Phone
541-345-6656
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a|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 the following
working day.
Required lnspections
Mechanical
Rough Mechanical
Final Mechanical
Area (Sq.
Main:
- Prior to cover.
-When all mechanicalwork is complete
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Gode: Does not apply
Accessory:Tota!:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
Gonstruction Types:
Occupancy Groups:
# Of Buitdings:
# Of Bedrooms:
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Job# 00-01729-01 Page 2 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
1112812000
1112812000
1112812000
11t28t2000
11t28t2000
3883
3BB3
3BB3
3883
3883
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 on this project. I further agree to ensure that all required inspections are
requested the time and that the project address is readable from the street.
sig re Date
$26.50
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