HomeMy WebLinkAboutPermit Mechanical 2001-8-20
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I Job# 01-00899-01 I
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Page 1 of2
TRANS#:01-0006475
DA TE : AUG 20 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00899-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2556 Dumas Dr Spr
Assessors Map#: 17032344
Lot: Block: Addition:
Tax Lot #: 00122
Subdivision:
Owner:
Bill Medford
2556 Dumas Dr
Phone Number: 541-726-6957
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Heatpump
Contractor Type
Mechanical Contr
Contractor Registration #
Rons Heating And Air Conditioning 59565
4285 West 7Th Ave Suite 0, Eugene, OR
97402-335
Expiration Date
4/27/2002
Phone
541-343-6829
Office Use
-<: ''-Ie : # Of:Buildings:'?S \'CU to
..~ - 7' ,'Co &L~Occupai'-c{'Gfoup.\,jl::ity
I ",-,~ . ,.... .' ,'..... p.d... "0::1 ~<:," for.:i1
Nu" ;c:"'cn C,.'1.HeatSource:S C'.~ _.1 .:
, 0' q <"2-[J1-'S'" I'F"'"~tanh.CAR 952-00 1-
m ,\,.~" q. 00 ge., I b
_ _ _ _ .. __"... ~ ...........i,..., ...n..,i....c:: 01 tL1P. ru as v
VVi:7V. ........ ..._~ --- .
11: ' ........ r..............r 1i\1....~....... the tql?ohone
To request an inspection call the 24 hour recording at 726-3769. All inspections requested'b'efore 7:00iication
a.m. will be made the same working day, inspections requested aften7.:00:a~rTi~"wiljlbermade'tH~n6ilb'V,}lng
working day. Can,~ri31-8Uv-3;;~-;::;j'l'+I'
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
- Prior to cover.
-When all mechanical work is complete~:,~.
;' :'.. ~~;t.. ORK
'Itll~~ PElli\m SHALL EXPIRE IFTHE W
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
'-,=,I:"'I!'"'I
ANY 180 DAY Height-(feet):
Proposed Units:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
I
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Job# 01-00899-01
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Page 2 of 2
Value/Quantity Fee Amount
I
,; Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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
req~r7 ~ the project address is readable from the street. 9 -..;:z;. -13/
Signature Date
Paid On Receipt#
Mechanical
08/20/2001 6475
08/20/2001 6475
08/20/2001 6475
08/20/2001 6475
08/20/2001 6475
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75