HomeMy WebLinkAboutPermit Mechanical 2001-3-5
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Job# 01-00195-01
Page 1 of 2
TRANS#:01-0004602
DATE:NAR 05 200i
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:004
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00195-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-37,59
Inspection Line: 726-3769
location Of Proposed Site: 483 Cascade Dr , Spr
Assessors Map#: 17023533
lot: Block: Addition:
Tax lot #: 08500
Subdivision:
Owner:
Address:
Greg Wirth
483 Cascade Drive
Phone Number: 541-726-4285
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Scope Of Work: Mechanical
Install heat pump.
Contractor Type
Mechanical Contr
Contractor
Rons Heating & Air Conditioning
4285 W 7th Ave Ste D, Eugene, OR
97402-5335
Registration # Expiration Date
59565 3/23/2000
Phone
541-343-6829
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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? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Job# 01-00195-01 1
Paid On Receipt#
,I Mechanical
03/05/2001 0004602
03/05/2001 0004602
03/05/2001 0004602
03/05/2001 0004602
03/05/2001 0004602
Page 2 of 2
Value/Quantity Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Evaporative Cooler/Fan
Mechanical Issuance
State Surcharge - Mechanical
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
reque~t the proper~~.d te project address is readable from the street. , '
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Signature Date
, 1
$10.50
$.45,
$4.50
$10,00
$1.05
$26.50
$26.50
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