HomeMy WebLinkAboutPermit Mechanical 2000-2-11
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Job# 00-00245-01
Page 1 of fRAN8# : 01-0000557
DATE:FEB 11 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
..'.
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00245-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 184 Hayden Way Spr
Assessors Map#: 17032333
lot: Block: Addition:
Tax lot #: 04400
Subdivision:
Owner:
John Garland
Phone Number: 541-726-8697
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address: 184 Hayden Bridge Way
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Harvey & Price Co
Po Box 1910, Eugene, OR 97440-1910
Registration #
77
expiration Date
10/31/00
Phone
541-746-1621
. 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. .
Rough Gas
Rough Mechanical .
Final Gas
Final Mechanical
Required Inspections
I Mechanical I
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
- When all gas work is complete.
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet): .
Proposed Units:
Total:
,
Job# 00-00245-01
Page 2 of 2
Fee
Paid'On Receipt# Value/Quantity
Mechanical . I
02/11/2000 557
02/11/2000 557
02/11/2000 557
02/11/2000 557
02/11/2000 557
02/11/2000 ~57
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Dryer Vent
Mechanical Issuance
State Surctiarge 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, 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.
!1~(! c!l.J~/.j~ /~ICJ~ Co. d-((-OO
~;a~;e tI tY Date
$9.00
$.45
$6.00
$.00
$10.00
$1.05
$26.50
$26.50