HomeMy WebLinkAboutPermit Mechanical 2002-1-14
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I Job# 02-00045-01 I
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Page 1 of2
TRANS#:01-0007765
DATE:JAN 14 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00045-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1064 Oak Meadows PI Spr
Assessors Map#: 17033422
Lot: Block: Addition:
Tax Lot #: 06000
Subdivision:
Owner:
Address:
PEGGY HAY
1064 Oak Meadows Place
Phone Number: 541-302-6141
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Adding Heat pump to existing HVAC system
Mechanical Contr
Contractor
Oregon Electric Service
Po Box 2237, Eugene. OR 97402-0070
Home Comfort Heating & Air Conditioning 84164
Po Box 24205, Eugene, OR 97402
Registration #
38001
Expiration Date
9/14/2004
Phone
541-343-1681
Contractor Type
Electrical Contr
6/25/2003
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: Forced Air Electric
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,
Final Mechanical
Required Inspections
I Mechanical I
- When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Job# 02-00045-01 I
Paid On Receipt#
Mechanical
01/14/2002 7765
01/14/2002 7765
01/14/2002 7765
01/14/2002 7765
01/14/2002 7765
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Page 2 of2
Value/Quantity Fee Amount
I
Minimum Mechanical Permit
Administrative Fee - Mechanical
3hp - - 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
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
requeste~/;:rope~~ RaHhe-project~ is readable from the street.
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Signafure ' -----, .. Date
1
$33,00
$3,60
$12,00
$10,00
$3,15
$61.75
$61.75
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