HomeMy WebLinkAboutPermit Mechanical 2001-2-16
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I Job# 01-00126-01 I
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Page 1 of2
TRANS#:01-0004467
DATE:FEB 16 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00126-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1413 Kellogg Rd Spr
Assessors Map#: 17033422
Lot: Block: Addition:
Tax Lot #: 03800
Subdivision:
Owner:
Jeff Bryant
1413 Kellogg Rd
Phone Number: 541-426-7566
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
James Heating
115 Lawrence St. Eugene. OR 97401
Registration # Expiration Date
Phone
# Of Buildings:
Occupancy Group:
Heat Source:
ATIC.;.. .:.~q,F~,otage: : ... '...,..,
fol!OVJ ,'lll..k:.."II.', H.-l" 1" :1: -.." .:"'/':1'
To request an inspection call the 24 hour recording at 726-3769. All i~~P.~.'?tLl2..fl~~(~9l!.~il.t!'l.d before 7:00 " ..:'. I
a.m. will be made the same working day, inspections requested after 7ji~~~.";I;j~j~,!?~ ,mJl9~.tb~JQJLowin9fi - )j~'l.hl -
working day. 0090. You .m.~' "'btf';r, :a;1iar :)1 Ih~ rUI)3).
R . d I t. _...11:......, V""r. ..,,,'I . .\!L If:. -(l.1t~kmtlOII~
eqUlre nspec Ions u_ - _ _, T t
I . I nu,lIb.:r ,,,; .... .J,_ :~,' ...:,j=" ,'.011 1';.lIOn
Mechanical C- .r' '. ". '."-.:"- L1),
1.:.i1~,", I... , .......... ...<.1_ _....""t"'T
. When all mechanical work is complete. .
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories: 'i!.eight (feet):
. H.llG"" .
Current Units: Proposed'Unlts:
Census Code: Does not apply THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Total: COMMENCED OR IS ABANDONED FOR
Fee
Paid On Receipt#
Mechanical
02/16/2001 4467
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Value/Quantity
Fee Amount
Minimum Mechanical Permit
$9.00
'" .
,pI
Job# 01-00126-01 I
'Paid On Receipt#
Mechanical
02/16/2001 4467
02/16/2001 4467
02/16/2001 4467
02/16/2001 4467
Fee
Administrative Fee - Mechanical
3hp - - 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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Value/Quantity Fee Amount
I
1
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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 usee! on this project. I further agree to ensure that all required inspections are
re~u~~at the project address is readable from the street. z.. _ I Co _ 0 \
Signature Date