HomeMy WebLinkAboutPermit Mechanical 2000-3-3
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I Job# 00-00339-01 1
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CITY OF SPRINGFI,ELD, OREGON
Page 1 of 2
, TRANS#:01-0000823
DATE:MAR 03 2000
AMT RECD:2 $ 40.70
CHANGE:
CASHIER: 059 ,
RESIDENTIAL PERMIT
, City Of Springfield
, Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: ,3512 Valentine Ct Spr
Assessors Map#: 17021942
'Lot: Block: Addition:
Owner:
Address:
Richard Moore
3512 Valentine
Phone Number: 541-746-6699
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Mechanical
Cont~~ctor Type
Mec~anical Contr
Contractor
James Heating
115 Lawrence St, Eugene, OR 97401
Job Number: 00-00339-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 03700
Subdivision:
Registration # Expiration Date
Quad Area:
, # Of Units:
Constr. Type:
Water Heater:
Office, Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buiidings:
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,i!lspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
I, Electrical
Rough Electrical
Final Electrical
-Prior to cover. '
- When all electrical work is complete.
Mechanical
- Pri.of to cover. ,
- When all mechanical work is complete.
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
" Current Units:
Census Code: Does not apply
Total:
Height (feet):
Proposed Units:
Phone
Fee
,",ob# 00-00339-01 I
, Paid On Receipt#
Electrical
03/03/2000 823
03/03/2000 823
03/03/2000 823
Page 2 of 2
t.:
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
2
$37.00
$2.59
$1.11
$40.70
, 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, andl 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.
Mechanical
03/02/2000 796
.03/02/2000 796
03/02/2000 796
03/02/2000 796
03/02/2000 796
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$67.20
Signature
Date