HomeMy WebLinkAboutPermit Mechanical 2001-4-13
\
.
I Job# 01-00367 -01 I
.
Page 1 of2
TRANS#:01-0004935
DATE:APR 13 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 004
.'
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00367-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5335 MAIN St Spr
Assessors Map#: 17023331
Lot: Block: Addition:
Tax Lot #: 06100
Subdivision:
4!
Owner:
Philip Saunders
5335 Main St.. Space 5
Phone Number: 541-988-9131
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Address:
Scope Of Work: Mechanical
Install heat pump system.
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Condit'
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
6/25/2001
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 the following
working day,
Required Inspections
Mechanical I
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Fl d) -
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
o.
,/
.
Fee
.
Minimum Mechanical Permit
Administrative Fee - Mechanical
3hp - - 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
.
Job# 01-00367-01
Page 2 of2
Paid On Receipt# Value/Quantity
Mechanical I
04/13/2001 0004935
04/13/2001 0004935
04/13/2001 0004935 1
04/13/2001 0004935
04/13/2001 0004935
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.
// ~/. )
Sig'flature - - -
.0
./
Fee Amount
$9,00
$.45
$6,00
$10,00
$1,05
$26,50
$26,50
(j-/3-C)/
Date