HomeMy WebLinkAboutPermit Mechanical 2000-8-9
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TRANS#:01-0002863
DATE:AUG 09 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
I Job# 00.01229-01 I
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01229-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1048 Oak Meadows PI Spr
Assessors Map#: 17033422
Lot: Block: Addition:
Owner:
Address:
Fred Hample
3426 Brookview Dr
Scope Of Work: Mechanical
Heat Pump
Tax Lot #: 00902
Subdivision:
Phone Number: 541-484-7076
City/State/Zip: Eugene, OR 97401
New Value: $0
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: \\I01\Ce.:., , ~~i>fR'~\f1ge:E~~~,
, , ,_ I'" <?ERN\n ::on""':::.: -r' lIe PERMII ,,,,'-
To request an inspection call the 24 hour recording at 726-3769f1AllfjnsRectlonSlrequested before 7::00
a.m, will be made the same working day, inspections reqUestedFllfter',i7-foo'a%':'cfill.~\l.\.!Jiaije<t~Wf6IioWi~9
working day. COMMENCEO ~'OO.
R . dl ,...,Ol'lnll.'{l'
eqUlre nspec~,onS\L
Mechanical
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, Feet)
I Main: Accessory:
Fee
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
U"
_ 1,0", J .
, .,,, ,..,...~ n "1'\'\ '.
..,~~. Otego..u
,.\ "',. -' ~eOO'llne lese\~O!\
'allOW (\J\e~~~~1 rnose (\l~~~f\ 952-00'
# Of Stories:\oti~ic~t9\05;'OO' -otI11rllWI9},~~).;)\ t\'le IUol90Se \) ~
. ,OAn blAIT'''~ 'lAI9pl1
Current Umts: 90 '(ou ma'l o't'roOOM9 ~l(S~calior'
.n , '''-''\1l~otel.,.. ,,'n,NUI\l'
Census Code: D'C~i\\ll,l"''''fJ' 019g00 UII I., '1M\
'1dO, II e, I <>I'II1.'1'1':>.?
nun"' _ ~\\'!. ,,, .
Total: j pf
Paid On Receipt#
I Mechanical
08/09/2000 2863
08/09/2000 2863
08/09/2000 2863
08/09/2000 2863
Value/Quantity
Fee Amount
1
$9,00
$.45
$6.00
$10,00
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
requ ~t per time and,that the project address is readable from the street.
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Fee
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
Job# 00-01229-01
Paid On Receipt#
Mechanical
08/09/2000 2863
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Value/Quantity
Fee Amount
1
$1,05
$26,50
$26,50
x-/?/.i!J U
Date