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HomeMy WebLinkAboutPermit Mechanical 2001-10-15 r SPRINQFIELD ~. Job# 01-01128-01 Page 1 of 2 TRA~IS~: 01-0006980 . DATE:~~T 15 :001 A(~T REeD - 2 $ 61 75 [,Hi;1 HoE: CASHIEf\:061 225 North Fifth Street Springfield, OR 97477 , ... RESIDENTIAL PERMIT City Of Springfield Commumty Services DIvIsion Building Safety Job Number 01-01128-01 Office 726-3759 Inspection Line 726-3769 Location Of Proposed Site 1433 Cheek St Spr Assessors Map# 17032433 Lot Block Addition Owner Address Tax Lot# 00110 SubdivIsion Jerry Klym 1433 Cheek Street Phone Number 541-747-4498 City/State/Zip Springfield, OR 97477 New Value $0 Scope Of Work Mechanical Contractor Type Mechanical Contr Quad Area # Of Umts Constr Type Water Heater Install gas furnace, ac and duct work Contractor Andys HTG & AC 220 Ruby Av, Eugene, OR 97404 Registration # Expiration Date Phone 541-461-1282 Office Use Land Use Zomng Code Bedrooms Range # Of BUildings OccupancYOGr\<:!up ~ \l\l 'W" Heat ~~urce , 0\1::.1- I' e' \ \ _....l'';:'- \\.t."''r~q '-',oo~age' ....Il~ _ n\:-I1'"\\\!\ .." ,\-\\01 - ,- ,.-. To request an inspection call the 24 hour recording at 726-3769 Alllnspe..ct;o~~\~~~,'~!?tE"d before 7 00 a m Will be made the same working day, inspections requested after 7 00 a m\'W~Hie made the follOWing , ;UI\ working day ", '''''I')\) "'v'J -.1\=S ., , ReqUired Inspections M~I - Mechamcal Construction Types Occupancy Groups # Of BUildings # Of Bedrooms Handicap Access? D I" Area (Sq Feet) I Main Accessory Rough Gas Rough Mechamcal Gas Service Final Gas Final Mechamcal - ~W - Prior to cover leo.Ulles ~ \.l\III\'/ -After line IS Installed and line has been connected to 'Omlnlmlirt\of one'1fP.Pilance<\.\"pressure te' -When all gas work IS complete ~-\"\o~ \V~eo'o'/t '~ulaSa\6 ;;2-00\- - When all mechanical work IS complete P-"\I€ luleS aO~~1 ,,,ose u9" Op-f'< luteS '0'/ \0110'/>1 \10(\ Ce(\ 00,0\"10 ,eS 01 \"a no(\e ~O\lllca n<:,2-00' - ",\al(\ call \"e \elell, callO(\ Op-f'< <> '/ au I~o\e ~Oll 1 1(\ '(au (lIa a(\tel \ \.l\III\'/3M) 0090 \11(\9 \"e c"e 0Ie90(\0..':,':;2-2 ca '-el\OI\ s,-BO ~l' \,0.('\ (\\ffelgh1,(feet) Proposed Umts # Of Stories Current Umts Census Code Does not apply Total , Job# 01-01128-01 Paid On Recelpt# Mechamcal 10/15/2001 6980 10/15/2001 6980 10/15/2001 6980 10/15/2001 6980 10/15/2001 6980 10/15/2001 6980 Page 2 of 2 Fee Value/Quantity Fee Amount I One to Four Outlets MInimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechamcal 1 $400 $29 00 $360 $1200 $10 00 $315 $61 75 $6175 1 Grand Total By signature, I state and agree that I have carefully examined the completed appilcatlon 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 requested at /e ~P71 time and that the project address IS readable from the street /Ii-,~ 0(;7/ ~()/ Date SI