HomeMy WebLinkAboutPermit Mechanical 2001-9-18
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Job# 01-01014-01
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Page 1 of 2
TRANS#:01-0006724
DATE:SEP 18 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01014-01
225 North Fifth Street
Springfield, OR 97477
Offk:e: 726-3759
Inspection Lil1e: 726-3769
Location Of Proposed Site: 1690 Cottonwood Ave Spr
Assessors Map#: 17032733
Lot: Block: Addition:
Tax Lot #: 05100
Subdivision:
Owner:
Bonnie Smith
1690 Cottonwood Ave
Phone Number: 541-747-11i'4
Address:
Scope Of Work: Mechanical
City/State/Zip:
New
Springfield, OR 97477
Value: $0
Install heat pump and air handler
Contractor Type
Mechanical Contr
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
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Registration # Expiraticl':'!.pate:.',' ::':"~' phone
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Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
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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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Required Inspections ~~o..'f..
Mechanical I c,\y..~ Co ~O\
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- When all mechanical work is complete. C~. c~tr\'\' ~ '\~~S ~ "'''''-':;; (
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CJ ~eighf{feet):
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Current Units: r Proposed Units:
Census Code: Does not apply
# Of Stories:
Rough Mechanical
Final Mechanical
Accessory:
Total:
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, Fee
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
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Job# 01-01014-01 I
Paid On Receipt#
Mechanical
09/18/2001 6724
09/18/2001 6724
09/18/2001 6724
09/18/2001 6724
09/18/2001 6724
09/18/2001 6724
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Page 2 of 2
Value/Quantity Fee Amount
I
1
1
$25.00
$3.60
$12.00
$8.00
$10.00
$3.15
$61.75
$61.75
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
requested at the proper time and that the project address is readable from the street.
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