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HomeMy WebLinkAboutPermit Mechanical 2002-7-24 . I Job# 02-00885-01 I . ,I SPRINGPIBLD \~. . Page 1 of2 TRANS#:01-0010027 DATE: JUL 24 2002 ANT RECD:2 $ 61.75 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 Fifth Street Springfield, OR 97477 Location Of Proposed Site: 1010 Kintzley Ave Spr Assessors Map#: 18020624 Lot: Block: Addition: Owner: Address: Teresa Schoonover Job Number: 02-00885-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 03800 Subdivision: 1010 Kintzley Phone Number: 541-746-4355 City/State/Zip: Springfield, OR 97478 Office: 726-3759 Inspection Llne;..?26-3769 (1:;0 IE;;: ....!t2[S Tax Lot #: ~~ SUbdivisi<<lir.$ ~ t..I..: - - 541-7~9B~ 4JiE~ Sprin~!2; ~ 97478 -.Jt.<jc"t::) ~liie'''''@ <r.>S:S!-<J '- Q; ..~&e::.. LL~rr-""Yr..~ ~....j (I:; <: - Registrationr#:" ~@~~ Date Q-,-~- 25790 ~ 2:12t2~~3 "'l;'(.)"'l;' Scope Of Work: Mechanical New Install AC ,.., .......r:: . 225 Fifth Street Springfield, OR 97477 -:Sn':::~ RESIDENTI~ ~R..MI,T;; c:: City Of SlJringfieldY .!!> f!!.S? Community Servif;es?Olvislbri? li Buildir\g.S'afetyf ~ af.'f; (l)\.) ""J .......-..;;;.... . "Cl>.!!>Oo-.!!>~~ ~,r::: i2 -c:: '" Cl> ... '<l' !P ~ 0 g>.~ S :~& c~'o,OQ."'-::::' ;;:''b~~O.!!>S~ .;;-'J0' .....00 C'j Kintzley .1v~ ~jlr? ,$ ~ g c::i '> -8.!!>g ~...: aJ>& ,0- err c:: , -Qo .!!>O'" , 0""" t::: .... .::: /f1 C:AClditlon: Cl> ,!(! _ -..;;; _ '"l-" 'U U ..... , -- ;;;: 0 'V " l.U - w !! s ~ If] 8 PIi<1!ieJtlumber: ;g.!:!cc>::. /?J~ () <<oS ~o~ c:;; .i;.CiW/State/Zip: o ouv f2 ~.$ g Ne~"? Location Of Proposed Site: 1010 Assessors Map#: 18020624 Lot: Block: Owner: Address: Leslie Schoonover 1010 Kintzley Ave Scope Of Work: Mechanical Install AC Contractor Type Mechanical Contr Contractor Marshalls Inc 4110 Olympic St, Springfield, OR 97478-5620 Quad Area: # Of Units: Constr, Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: Value: Job Number: 02-00885-01 Phone 541-747-7445 # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: . I Job# 02-00885-01 Office Use Land Use: Zoning Code: Bedrooms: Range: . Page 2 of 2 " " , . Quad Area: # Of Units: Constr, Type: Water Heater: # 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. Required Inspections Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Value/Quantity Mechanical I 07/24/2002 10027 07/24/2002 10027 07/24/2002 10027 1 07/24/2002 10027 07/24/2002 10027 Fee Amount Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical $33,00 $3,60 $12.00 $10,00 $3,15 $61.75 $61.75 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~e~i a;:r; ~hat the project address is readable from the street. s(g~ { p~z-- Date