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HomeMy WebLinkAboutPermit Mechanical 2001-3-28 ~r'.. 'I;, -. I Job# 01-00295-01 I . Page 1 of2 TRANS#:01-0004784 DATE:MAR 28 2001 AMT RECO:2 $ 26.50 CHANGE: CASHIER: 003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00295-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5041 Forsythia St Spr Assessors Map#: 18020422 Lot: Block: Addition: Tax Lot #: 02400 Subdivision: Owner: Address: Brian Nobles 5041 Forsythia Street Phone Number: 541-744-7677 City/State/Zip: Springfield, OR 97478 New Value: $0 Scope Of Work: Mechanical Installing new Electric HVAC System Contractor Type Electrical Contr Contractor Registration # Able Electric 92506 1300 Anderson Ln, Springfield, OR 97478 James Heating 115 Lawrence St, Eugene, OR 97401 Expiration Date 7/16/2003 Phone 541-726-6701 Mechanical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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, Underfloor Mechanical Rough Mechanical Final Mechanical Required Inspections I Mechanical I - Prior to insulation or decking. - Prior to cover. -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq, Fe:t) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: "- ........ ,. " . Job# 01-00295-01 . Page 2 of 2 Value/Quantity Fee Amount Fee Paid On Receipl# Mechanical 03/28/2001 03/28/2001 03/28/2001 03/28/2001 03/28/2001 1 $9,00 $.45 $6,00 $10,00 $1,05 $26.50 $26,50 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 requested at the proper time and that the project address is readable from the street. \ "- 3- 2-6-0 \ Signature Date