HomeMy WebLinkAboutPermit Mechanical 2001-11-2
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225 North Fifth Street
Springfield, OR 97477
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e
I Job# 01-01220-01 I
Page 1 of 2
TRANS#:01-0007160
DATE:NOV 02 2001
AMT RECD:2 $ 61.75
CHANGE:
CA8HIER:061
CITY OF SPRINGFIEL~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01220-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 717 Edgemont Way Spr
Assessors Map#: 17033413
Lot: Block: Addition:
Tax Lot #: 06500
Subdivision:
Owner:
Stan Woods
717 Edgemont Way
Phone Number: 541-726-7598
CitylStatelZip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
INstalling new Heat Pump system to replace Ceiling Heat.
Registration # Expiration Date
84164 6/1/02 ,'OU\~ 541-345-2838
'~a"" ~,,\\\'I ~
0.>,)' o~ ,o~
_,N'(e: .......p.~ ce\ _1"\""
Office Use .O{aQ,o~ ~; ~~~a'" ~~~ '?,~~;'" '0'1
O~' ,au sa .- Or ,,\U 0
Land Use: "-~-<,~ ~60Q -<,'(\0 oo#lOf ~uildil)gs; ~
....-1:y. \a'" ,a{' ,,~\ "^" .",ev ,\\0
Zoning Code: 1'-" ".1 {U (jaf:' "O\V c.c.9ccullancy;,~roup:
\\0'<' 'O~ f:J\'v \~ "'''\'.,\0''
Bedrooms: \0 .~\C.~\' rz:\! 0'0\'0' ~~a,\\~!l~:
Range: ~O~~~:';U {I\~'Ir,e~~;eQ,~S!l~~6tage:
'" flJ\)': \\'~ ,'(\e~ .'tJu-
To request an inspection call the 24 hour recording at 726-3f~.cl.\n'<)~~pe'CtiQ.ris'~quested before 7:00
a.m. will be made the same working day, inspections requested afte-F7:00r~m, will be made the following
,,-
working day.
Contractor Type
Mechanical Conlr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
Contractor
Home Comfort
706 Oscar Street, Eugene, OR 97402
Phone
Required Inspections
I Mechanical
- Prior to cover. ~;~a?t-.
-When all mechanical work is complete, ~'C-\r'~ \'O~O'
~. 'C-'/..~'I X\~~
<t\O<(.\C ~iI~ 'O~t>o\.\. X\ ,~\'O ~~ . ,~\) '(O?o
S o'C-S1. \j~'\)e _ ",,'rp,-
,\-\'1 '''~1.'C-'\) "IC 1''C' .1'
i\~OP (\ ,\-
1\\5 ,. \r~\.I _ ."n'\) ,
# Of Stories: Ca"'!~~ I'~I-!eiglit (feet):
Current Units: N.'l ,'Oil'\) Proposed Units:
~,
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Total:
.__ -..,0
.
Job# 01-01220-01
Fee
Paid On Receipt#
Mechanical
11/02/2001 7160
11/02/2001 7160
11/02/2001 7160
11/02/2001 7160
11/02/2001 7160
11/02/2001 7160
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
-
Page 2 of2
ValuelQuantity Fee Amount
1
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
reques#z~~tad~eadablefrom the street.
signalLir:;- ~ U (/ ------ .
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Date