HomeMy WebLinkAboutPermit Mechanical 2000-7-14 (2)
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I Job# 00-01104-01 I
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Page 1 of2
TRANS#:01-0002580
DATE:JUL 14 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:003
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01104-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3498 Douglas Dr Spr
Assessors Map#: 18020621
Lot: Block: Addition:
Tax Lot #: 05602
Subdivision:
Owner: Melba Pieper
Address: 3498 Douglas Drive
Scope Of Work: Mechanical
Phone Number: 541- -
City/State/Zip: Springfield, OR 97478
New Value: $0
Contractor Type
Electrical Contr
Contractor
J b Electric I nc
4065 W 11T~ #18, Eugene, OR 97402
Home Comfort Heating & Air Condit"
Po Box 24205, Eugene, OR 97402
Registration #
104929
Expiration Date
3/14/2004
Phone
541-687-5770
Mechanical Contr
84164
6/25/2001
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:
Sq. Footage:
To request an inspection call the 24 hour recording al 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 I
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Mam: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
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Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
Job# 00-01104-01
Paid On Receipt#
Mechanical
07/14/2000 2580
07/14/2000 2580
07/14/2000 2580
07/14/2000 2580 .
07/14/2000 2580
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Page 2 of 2
Val.ue/Quantity Fee Amount
I
1
$9.00
$.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 wilh the Ordinances of the City of Springfield and lhe 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 10 ensure thai all required inspections are
reque/;z~e andJhat . address is readable from the street.
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Date