HomeMy WebLinkAboutPermit Mechanical 2001-4-25
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I Job# 01-00418-01 I
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Page 1 of 2
TRANS#:01-0005054
DATE:APR 25 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00418-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3945 Jasper Rd Spr
Assessors Map#: 18020614
Lot: Block: Addition:
Tax Lot #: 10600
Subdivision:
Owner:
Address:
Otto Langer
3945 Jasper Rd
Phone Number: 541-746-2892
Scope Of Work: Mechanical
City/State/Zip:
New
Springfield, OR 97478
Value: $0
install AC & Air handler
Contractor Type
Mechanical Contr
Contractor
Marshalls Inc
4110 Olympic St, Springfield. OR
97478-5620
Registration #
25790
Expiration Date
12/23/01
Phone
541-747-7445
Office Use
Quad Area: Land Use: ~ Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: NOTICE: Sq. Footage: --..
IHI~t-'t:HMII ~HALLEXPIREIFTHEWORK
To request an inspection call the .24 hour recording at 726-376~( r~~li\l~p,~ti9~~r\!1.gpe~\~'lb~~r,~j7,,:,o,9,()'J
a,m. Will be made the same working day, Inspections requested after7:00-aJm.' wIn-be' madeqhevfollbwing
working day, COMMENCED OR IS ABANDONED FOR
R . d I A~t'Y1RODAYPERlnn
eqUlre nspec Ions
Mechanical I
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
"""".., '-,,-,, "
t~II~H"V" -,...?Qr~:C",~' 'Jc;l.'li3Sj'QUto
foth'\!\' rl'l.':~::c" "Ji~~: ')Ii "lf ::Jr2pon Utility
:'I,)lll.!...",,,, ""n'r'. ",(i:;<, U13~ dra set forth
# Of Stories: If! OAl'll:li:i~i~iit'(i~~t)':ihTOUgh OAA 952-001-
C t U 'ts. OOW, V~lp" '11,"1\' 'lhd'"U''' "ts"!lis" of the rules by
urren nI . . II' . ,ropose n1.
C C d '0 tOO 'If:9.rt'''';..Im~,.\llJtJ13:1n.3lalephone
ensus 0 e. oes no .ap.RY'f '^"~'" I"
hu......., ",' "'''''.J'''.\'lUTi utIlity Notification
I Cent<.~is 1-800-332-2344).
Total:
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Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100.000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 01-00418-01
Paid On Receipt#
Mechanical
04/25/2001 5054
04/25/2001 5054
04/25/2001 5054
04/25/2001 5054
04/25/2001 5054
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Page 2 of2
Value/Quantity Fee Amount
I
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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 Springfieid 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.
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