HomeMy WebLinkAboutPermit Mechanical 2001-8-8
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I Job# 01-00851-01 I
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Page 1012
TRANS#:01-0006384
DATE:AUG 08 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00851-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2150 Laura Ave Spr
Assessors Map#: 17032710
Lot: Block: Addition:
Tax Lot #: 04400
Subdivision:
Owner:
Address:
Mary Montgomery
2150 Laura #74
Phone Number: 541-726-1347
City/State/Zip: Springfield, OR 97477
Scope Of Work: Mechanical
New
Value:
Replace electric air handler and HP
Owner:
Address:
Violet Williams
2150 Laura St sp 94
RESIDENTIAL PERMIT \0
City Of Springfield . ...0'V .~",'l
Community Services Division Jobiriitmti~'r:-91~00851-01
Building Safety ,rl \0"'0'. \0~v'0 '00" ' r::P"
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"o~ .\ \~ ~a'=Office:'726-3759
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O~. ,,\0vlnspection Line: .7.26?37,69
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;<.\"'~\'V\0'" ~0~\0\~\ (j."S':09\~"'''S'0 \0\~\\\\C~'I
Laura Ave Spr ~O\\O~ r.>\\o~?;r:J;'''~'O\'l>:(\ ~~o\~)\~\\'l..~I'l..I.'\'
_'o~'\C",,~'i "",~'l T,ax'L:ot'#:",<f<,04400
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Addl~!on;,(\.-{o ,,\'ro-0 ,\~_ubd,I)(ISlon:
l)V. tJ>.""-- <\v' e\ ,,-
Phone Number:~ 541-736-9932
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City/State/Zip:
New
Springfield, OR 97477
Value: $0
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 2150
Assessors Map#: 17032710
Lot: Block:
Scope Of Work: Mechanical
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Replace electric air handler and HP . .,r'1~'f..
'1\'(;. . i\
Contractor Registration # EXPirlitl5~ Date, ~a Phone
:-{~\"- ~\,.
Associated Heating & Air Conditioning Inc 106275 ~,,\.\.813W002~ S) ra~541-683-2590
Po Box412, Eugene, OR 97440 ~O~\~';\lI\' ~,\\~.:v~~',,~\P~<;;)
'i\'\''-'' _.~. ~1-'(;.y a \'::> ,,'
Office Use ';;,,\'\'-' C~\> 0" \(')\>.
Land Use: ~ O\ll\ll\;,.~ "i '?~~# Of Buildings:
Zoning Code: c; N \'6Cl \> Occupancy Group:
Bedrooms: ,,~ Heat Source:
Range: Sq, Footage:
Contractor Type
Mechanicai Contr
,f
.
I Job# 01-00851-01
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
.
Page 2 of2
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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 belore 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the lollowing
working day.
Required Inspections
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? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
08/08/2001 6384
08/08/2001 6384
08/08/2001 6384
08/08/2001 6384
08/08/2001 6384
08/08/2001 6384
Value/Quantity
Fee Amount
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
By signature, I state and agree that I have carelully 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 01 Springfield and the Laws of
the State 01 Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I lurther agree to ensure that all required inspections are
r1quested at the prope~ tre a~d ~that the pr~ject address is readable from the street.
.'\ \'\1 ~'l"C'\ . '<t~) A-~C'\\
S19nature ~ Date
1
1
$25.00
$3.60
$12.00
$8.00
$10.00
$3.15
$61,75
$61,75