HomeMy WebLinkAboutPermit Mechanical 2002-6-16
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I Job# 02-00724-01 I
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00724-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed. Site: 2150 Laura St Spr
Assessors Map#: 17032710
Lot: Block: Addition:
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Tax Lot #: 04400
Subdivision:
installing 2 1/2 ton heat pump & coil
Phone Number: 541-747-7242
City/Stat~ip:' I\.. Springfield"OR 97477 ",
tollow rules aljop,,,a ooy tne uregon Ulilll~'
New Notification CenteiValue:e rl$.Qs are set fon'.
in OAR 952-001-001 0 through OAR 952-00'1-
0090. You may obtain copies of the rules by
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Owner:
Lee Andrews
2150 Laura Street #105
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
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egis ra Ion . xplra Ion a e one
t,;enter I~ 1 ~~., 'f'~'J""'.?::f44).
64164 6/25/2003 541-345-2838
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: Sq. Footage:
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To request an inspection call the 24 hour recording at 726-~1t\% m!AMPe&IMl~~~~!lt. tll .:Q(hT
a.m. will be made the same working day, inspections requeAml~fi~l~ i!!JIDlWilitillll'h fd ,->>lIIg
working day. COMMENCED OR IS ABANDONED fUK
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ReqUired InAA..~tlQJJ>j. . .,
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
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does' not apply
Height (feet):
Proposed Units:
Total:
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Fee
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Job# 02-00724-01
I
Paid On Receipt#
Mechanical
06/17/2002 9625
06/17/2002 9625
06/17/2002 9625
06/17/2002 9625
06/17/2002 9625
1
Value(Quantity
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
requested at t~er. time and t at the roject-address is readable from the street.
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Signature '0. Date