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HomeMy WebLinkAboutPermit Mechanical 2001-11-5 :., . I Job# 01-01229-01 I . Page 1 of 2 TRANS~:Ol-0007174 DA TE : NOV 05 2001 AMT RECD:2 $ 114.65 CHANGE: CASHIEF!:061 ./ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01229-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3530 Game Farm Rd 66 Spr Assessors Map#: 17031540 Lot: Block: Addition: Tax Lot #: 03100 Subdivision: Owner: Chuck Wall 3530 Game Farm Rd Phone Number: 541-741-8165 City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Address: Scope Of Work: Heating System Heat pump Contractor Type Electrical Contr Mechanical Contr ~\O ~\~eS 'l0\)\\~\\"54~ -461-1282 ~e~ o~ \O~\ \I>--ll oleg se\ r;)'- _,,'(\ _'-0. "",<0 _n...CS . .01"''' 6'0'1" ~\)w~ ~ "'~- ~es \Jl ~,\\O'(:'!(~60~\e '\'roOSe I\~'roO~\'roe~\) o~e ~e ~\)\0SGe~\e~' ,C')of B\!!ilaing~:?~ 7>-\\0"(\ "0"" ^ 00 _n\J .~'" \- ,'.he \0\\. 7>-\\0" OO\- ~",Oc1ul!J1n~y: ~roup: ~\\\e ,,<:;,'2-- ,,0'0 u '''tOS ....\Io(~ '....1.'\. ~\O a" ",,0', .\.-",ea. ource:)'" \' 01>-" ~ I"~ e<;l\ 0"" n'l-" Water Heater: Range: \<'.nQO.'l~"\'roe~,,,e~q'ot~otage: v- c'3.\w'- <,\0\.- \10 ~ To request an inspection call the 24 hour recording at 726-3769. All ih~p'e~tiQ..nS''r~~uested 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. Contractor Burrell Brothers 40159 Both Kelly Blvd, Springfield, OR 97477 Andys HTG & AC 220 Ruby Av, Eugene, OR 97404 Registration # Expiration Date Phone 541-747-2724 Office Use Quad Area: # Of Units: Constr. Type: Land Use: Zoning Code: Bedrooms: Rough Electrical Final Electrical Required Inspections Electrical - Prior to cover. . NO~:' - When all electricai work is complete. (\~t. 'II G\ ,,~\"'t."" ;'i ''0 ~ Mechanical ...,,:~C"'" ~X\1\\..\..~" ?'t-)'.w,'i \ ~ - Prior to cover. ~v ott\'\~\\";) tt\ \~\'O ;-(;.'i:l rO - When all mechanical work is complete~~\S ' \1..t.\) Ij'i!<\) s i''Oi'';-\SO. ';j\~G?' ~ \) 0\'1 '\ ~ c~v~ S\O\) CO~f~Ji- n v~{ y-C: ","\'00 , '.1 ,..... Rough Mechanical Final Mechanical . . .' Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq, Feet) I Main: Accessory: Fee Minimum Electrical Permit Fee Branch Circuits W/O Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total l~ ~1'4 J -s;n.afu~ .. I Job# 01-01229-01 I # Of Stories: Current Units: Census Code: Does not apply Total: Paid On Receipt# Electrical 11/05/2001 7174 11/05/2001 7174 11/05/2001 7174 11/05/2001 7174 Mechanical 11/05/2001 7174 11/05/2001 7174 11/05/2001 7174 11/05/2001 7174 11/05/2001 7174 . Height (feet): Proposed Units: Page 2 of 2 Value/Quantity I Fee Amount 2 $.00 $46.00 $3.22 $3.68 $52.90 $33.00 $3.60 $12.00 $10.00 $3.15 $61.75 $114.65 j/1/(l u c:- () / 1 Date