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