HomeMy WebLinkAboutPermit Mechanical 2000-6-2
.. j
-' ..1
.
I Job# 00-01005-01 I
.
Page 1 of2
TRANS#:01-0002319
DATE:JUN 26 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01005-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 7632 Mckenzie Hwy Spr
Assessors Map#: 17023541
Lot: Block: Addition:
Tax Lot #: 01300
Subdivision:
~
Owner:
Margaret Knieslan
7632 McKenzie Hwy
Phone Number: 541-747-4037
City/StatelZip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
heat pump placement
Contractor Type
Mechanical Contr
Contractor
Pac West Heating
PO BOX 6, Dexter, OR 97431
Registration # Expiration Date
Phone
541-746-5233
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 requ!l~t~d .~~for~.7:0.0.""". JV' '
a.m. will be made the same working day, inspections requested after 7:00 a:m."will bem'ilde.the,following:<'on Uti III ,
k. d follow rL':e~ .::iUL't,;'t"'\.' '" ~""~ .. . .
worlngay. .' I" I, '."
'ntk"t"., ,,":' " .' "
1 .-J;_'.l}tj4
Required Inspections un '.' - .. ' ,'. ,. ',,' '", ",::~ r
. I J09l1 Y'lt ~lt.~.~' J'"'tfl~" GD~~kt I r
Mechanical '., """ , ",' 11" ~ .".-
'1~~~~11~~ ;;;~ '6.~~~; Lli:i; . 1"o;;:iC::.tio"
.....".' ": '.' ~." \
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
r",-....;.:.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories: '
Current Units:
Census Code: Does not apply
Total:
Height (feet):
P.roDOSeg;Units:
l',lU I 1\#_.
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
__:.a ..-'\'........,..._n Ie" ^D^l\lnnl\l~nJ:nR
............"..-..--- -. -
ANY 180 DAY PERIOD.
-
,
..
'A
'"
.
Job# 00-01005-01
Paid On Receipt#
Mechanical
06/26/2000 2319
06/26/2000 2319
06/26/2000 2319
06/26/2000 2319
06/26/2000 2319
.
Page 2 of2
Value/Quantity' Fee Amount
I
Fee
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
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.
C~ \.I. \A'4.--" c,~ Zc:, -OC!
Signature Date
1
$9. 00
$.45
$6.00
$10.00
$1.05
$26.50
$26,50