HomeMy WebLinkAboutPermit Mechanical 2001-8-14
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Job# 01-00880-01
Page '1 "of 2
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
TRANS#=Ol-0006423
DFjTE;AUG 14 2001
AMT RECD;2 $ 6i.75
CHANGE:
CASHIER;061
Job Number: 01-00880-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2663 Castle Dr Spr
Assessors Map#: 17032333
Lot: Block: Addition:
Tax Lot #: 05400
Subdivision:
Owner:
Address:
T Jorgenson
2663 Castle Dr
Phone Number: 541-746-1775
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Install heat pump
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Contractor Registration # ~ ~x~~'\iB~n Date
Marshalls Heating ~~Y., ((.,<(..~ y,O<0
4110 Olympic Street, Springfield, OR. ~~'v'v ~ '\~S ~~J3~5> .
97478 A\'V<t;,. ;:')~ s ~Y.,<(..o..~
1\ '!I ~ 0..\'" '0,. r~
Offr~e""LJs~(..'\' ~<) R- ,S
,,:? ~1,v ("', a :-.O\>'
Land Use' .\,<, ~\j (~v (',<f..
. -;)'\ (~~J ~ ~v
Zoning Code: ~ ~~/ \)~
Bedrooms: cP ~ \co~ 1,
Range: ~~
Phone
541-747-7445
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
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 ma~e the following
working day. ~ov ~::::.~ ~
0~ -0 \0 ~'
R . d I t' ~,~ -~ ~,_C\ .
eqUlre nspec Ions 0.'" ~- ~- n'~ 'O~
0(,,0 . ~0 ~0 bV !b
, Mechanical I ,'l;-~ 00 0~'lj 5(-OJ 0(,,-$-0 ~0
- Prior to cover. . ~O~ -o~ ~0 o(,,~ ~ 0~.;:s-0 "$<~O ~O<:-
-When all mechanical work is complete. .00(,,0 ~l:> ",-or.:; O\::;~ !b0 ,~0 ~v
. -". ;~ ",. v-S ~0 ,^0 _,0
O'~ 0.0 ~. .I\::)~- O~ .~. ,~~.
t:-~ !b'lj ~0 ~'" .~ G 0,0' #- rJ
A<() YJ\0 cP ~s:s ~'lj ~ '-> !]:I'l)
~ ' ~ ~. O~ ~p & 00(,,' 0<:-::''5
~ ~O ~ b'?; 1>-~ ~ ~0(:$ rJ\J
\0 .J.,O 5(- OJ ~ ~ ~ 00 rlP ...;8
. ~O ~ 4.0 ~~:.~ .("..,
# Of Stones: ^ 0 r.. .~!3h~ISiJl1t\ffeet): '
. ',v Rl'" ~v ~(~~... .
Current Umts: d:5 v~ ~'<f?rap~sed Umts:
Census Code: Does not apply
Rough Mechanical
Final Mechanical
Accessory:
Total:
Fee
Job# 01-00880-01 I
Paid On Receipt#
Mechanical
08/14/2001 6423
08/14/2001 6423
08/14/2001 6423
08/14/2001 6423
08/14/2001 6423
08/14/2001 6423
Page 2 of 2
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Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
1
$25.00
$3.60
$12.00
$8.00
$10.00
$3.15
$61.75
$61.75
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Signature
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 t.hat 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
requested at the proper time and thatthe project address is readable from the street.
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Date