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HomeMy WebLinkAboutPermit Mechanical 2000-8-4 .' . I Job# 00-01207-01 I ." Page 1 of2 TRANS#:01-0002823 DATE:AUG 04 2000 ANT RECD:2 $ 26.50 CHANGE: CASHIER:059 ~ CITY OF SPRING~/ELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01207-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 716 Rowan Ave Spr Assessors Map#: 17033423 Lot: Block: Addition: Tax Lot#: 01112 Subdivision: Owner: Mark and Mary Hilbert Phone Number: 541-747-2949 Address: 716 Rowan Ave City/State/Zip: Springfield, OR 97477 Scope Of Work: Mechanical Alteration Value: $0 i\CE: If\HEWUl'\". Replace Heat Pump ~O "..~C'u~\ LE)(.f'IRE . ..~""l\Im lHIS r't:.I'\I'''' - lHIS yt:.n"" . U1HORIZEO UNO~~RI:..NOONEO fOR Contractor Type Contractor I:.. .oMMENCEO CRElgistration # Expiration Date Phone Mechanical Contr Valley Heating and Air Con~itioning, 01:..'( PERIOO. 541-752-3001 ~\\\~ ICe_ 3208 SW Knollbrook Ave, Corvallis, OR 97333 Office Use Quad Area: Land Use: ,,\I\O~I#O(!)(Buildings: # Of Units: Zoning C\o.d,e,~ \ ",)\'ol.vl,,~vl' 'd~\'l;OfegOI~\B~,I:ICY Group: Constr. Type: Bedrooms:'" \.lIes adopted ~'/se Tules aT ~rce: Water Heater: Range:\O~\,~W,,;~',on Gent81. If) '~'ougnOP.fS ,,'ont~ge: ......, U~n\ _, i)n1 '-''' :}....'A u~c.-: . - . 95~-uV - - . COP"'" .. none To request an inspection call the 24 hour reCOrdin(f?,t~:j~~iffi9I c)\]f~~~mlttft_dilefore 7:00 a.m. will be made the same working day, inspectio~~'f~~~~~iWijlo!bi~ made the following working day. ca "'eftOftne. . p,,,(\.','1?_?"'~ I. numv _ ~l"',H.;r I~ . . . Required In~pections I . Mechanical Final Mechanical -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: Fee Paid On Receipt# Mechanical 08/07/2000 2823 Value/Quantity I Fee Amount Minimum Mechanical Permit $9.00 , . Job# 00-01207 -01 Paid On Receipt# Mechanical 08/07/2000 2823 08/07/2000 2823 08/07/2000 2823 08/07/2000 2823 . Page 2 of 2 Fee Value/Quantity Fee Amount 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, 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 t State of Oregon. further state that only contractors and employees who are in compliance with r 701 55 will be sE!d this project. I rther agree to ensure that all required inspections are r d t t~~ prfe' nd t at ~lPr 'ect address is readable from the street. V'v\,J. \ rt:j7 / (!) 0 Signature Date 1 $.45 $6.00 $10.00 $1.05 $26.50 $26.50