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HomeMy WebLinkAboutPermit Mechanical 2000-6-1 I Job# 00-00850-01 I Page 1 of 2 TRANS#:01-0001978 DATE:JUN 01 2000 AMT RECD:l $ 40.00 CHANGE:$ 13.50 CASHIER:003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00850-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 35 ann Ct Spr .Assessors Map#: 17032241 Lot: Block: Addition: Tax Lot #: 01000 Subdivision: Owner: Address: Steve Booher 35 Ann Court Phone Number: 541-747-7113 City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Scope Of Work: Mechanical Replacing oil furnace with heat pump and air handler. Contractor Type Electrical Contr Contractor . Steve Booher 35 Ann Court, Springfield, OR 97477 AUTOMATIC HEAT CO. 3675 FRANKLIN BLVD., EUGENE, OR 97403 Registration # Expiration Date Phone 541-747-7113 Mechanical Contr 0000439 10/2/2001 541-726-7654 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? 0 -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: ~ Fee Job# 00-00850-01 Paid On Receipt# Mechanical 06/01/2000 1978 06/01/2000 1978 06/01/2000 1978 06/01/2000 1978 06/01/2000 1978 Page 2 of 2 Value/Quantity Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit , Total Mechanical $9.00 $.45 $6.00 $10.00 $1.05 $26.50 $26.50 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 ~,7u;~ed JJ the /jop tim ~nd t t t~e project address is readable from the street. /f/~j/. 0'-(~OD Signature '{/l' Date