HomeMy WebLinkAboutPermit Mechanical 2000-3-2
Job# 00-00339-01
CITY OF SPRINGFIELD, OREGON
Page 1 of 2
TRANS#:01-0000796
DATE:MAR 02 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00339-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3512 Valentine Ct Spr
Assessors Map#: 17021942
Lot: Block: Addition:
Tax Lot #: 03700
Subdivision:
Owner:
Richard Moore
3512 Valentine
Phone Number: 541-746-6699
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type Contractor
Mechanical Contr 'James Heating
115 Lawrence St, Eugene, OR 97401
Registration # Expiration Date
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
Rough Mechanical ".
Final Mechanical
- Prior to cover.
-When all mechanical work is complete,
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
Height (feet):
Proposed Units:
Total:
Fee
Minimum Mechanical Permit
Paid On Receipt#
Mechanical
03/02/2000 796
Value/Quantity
Phone
Fee Amount
$9.00
F~
Job# 00-00339-01 I '
Paid On Receipt#
Mechanical
03/02/2000 796
03/02/2000 796
03/02/2000 796
03/02/2000 796
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
Page 2 of 2
Value/Quantity
Fee Amount
1
$.45
$6,00
$10.00
$1.05
$26.50
$26.50
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.
( ,q~,J) ,+r:;-;.~ '
Sign~e, ' " "
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Date