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HomeMy WebLinkAboutPermit Mechanical 2001-8-20 , . I Job# 01-00899-01 I . 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 . Job# 01-00899-01 . 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