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HomeMy WebLinkAboutPermit Mechanical 2001-3-5 ;,t, -:,.:..... 0\1 '... , 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 \.., 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: ~ /, \ .. 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. , ' ~AJ /C./::;?:._~ , ' ' b3~6S-~6( Signature Date , 1 $10.50 $.45, $4.50 $10,00 $1.05 $26.50 $26.50 "