HomeMy WebLinkAboutPermit Mechanical 2001-5-4
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Job# 01-00459-01
Page 1 of 2
TRANS#;Ol-0005169
DATE: rlAY 04 2001
AMT RECD:2 $ 26,50
CHANGE:
CASHIER: 061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00459-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 2735 Castle Dr Spr
Assessors Map#: 17032333
lot: Block: Addition:
Tax lot #: 05700
Subdivision:
Owner:
Address:
Clarence Henshen
2735 Castle Dr
Phone Number: 541-747-3775
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
heat pump
Contractor Type
Mechanical Contr
Contractor
Home Comfort Inc
706 Oscar Street, Eugene, OR 97402
Registration #
84164
Expiration Date
6/25/2001
Phone
541-345-2838
# Of Buildings:
Occupancy Group:
Heat Source:
~uIiLL ,...~I"\ Sg. Footage:
;':;"'J\ I~ l\ ...1I;;cr. If:: 'ir,n: lAinoI.'
~ ..""":".....
!V P""J(\i';>I":fI':'f') 11I~II')"'o -UI~ '"' ro-
To request an inspection call the 24 hour recording at 726-3769~( ;Ai1l~insr:>eGti0nslr.e~u~ste~Hlief0r€(7WO
a.m. ~ill be made the same working day, inspections req~ers.te.d@.ft~iEr.!~Fp!g1A'&j!,IWS.jf1't~<trr!5~following
working day. ANY 18Q! L1A Y PEFtI;QO"
Required Inspections
Mechanical
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
i:""':;'7r.~r:.
~ . ',.'.' ,0, ~
THit?
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of BedroOms:
Handicap Access? D
-Area (Sq. Feet)
Main:
- Prior to cover.
- When all mechanical work is complete.
ATTENTION:Oregon law requires you to
fo!'?W ~u'es adopted by the Oregon Utility
~otlflcatlon Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
# Of Stories: 0090. .You may~~:tgm fte~t~? of the rules by
calling the ceDter (Noto. h.., tol h
Current Units: numbe.rforthJ',r.pP'oseCl~li)its:~ ~~ one
'" ....,regon Utllty NotifIcation
Census Code: Does not@~R~~r is 1-800-332-2344).
Total:
Accessory:
Fee
Job# 01-00459-01
Paid On Receipt#
Mechanical
.05/04/2001 5169
05/04/2001 5169
05/04/2001 5169
05/04/2001 5169
05/04/2001 5169
Page 2 of 2
Value/Quantity
Fee Amount
"
Minimum Mechanical Permit
Administrative Fee - Mechanical
, Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$9.00
$.45
$6.00
$,10.00
$1.05
$26.50
$26.50
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
~eqUested 2 proper time and t~~ble from the street
Signature~ C ,- --r-- - ------
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Date
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