HomeMy WebLinkAboutPermit Mechanical 2001-7-10
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I Job# 01-00704-01 I
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Page 1 of2
TRANS#:01-0006102
DA TE : JUL 10 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: 01.00704-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 646 Lockhaven Ave Spr
Assessors Map#: 17032724
Lot: Block: Addition:
Tax Lot #: 07000
Subdivision:
Owner:
Robin Gross
646 Lockhaven Ave
Phone Number: 541-744-1339
Address:
Scope Of Work: Mechanical
City/State/Zip:
New
Springfield, OR 97477
Value: $0
Install 3 ton heat pump on MH
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating
706 Oscar Street, Eugene, OR 97402
Registration #
84164
Expiration Date
6/1/2003
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# 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 ?,:OO\a,m?will be made the following
working day. r ..,." ,.....:..
. . THIS PEFlMIT SHALL EXPIRE IF THE WORK
Required Inspections
. illjJTHORIZED UNDER THIS PERMiT is NOT
Mechanical
Rough Mechanical - Prior to cover. 00MMENCED OR IS ABANDONED FOR
Final Mechanical .When all mechanical work is complete. ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
IArea (Sq. Feet)
I Main: Accessory:
ATTENTION:Oregon law requires you to
# Of Stories: fol'R'" rWtft 'lr~'j'oted by the Oregon Utility
. Noti!;r.~~on v~en'~r. Those rules are set forth
Current Units: in oA'~oJl"o.:5.eg'llJmt~.; through OAR 952-001.
Census Code: Does not apJ;>!Y..O. You may obtain copies of the rules by
calling the center. (Note: the telephone
Total: numberforthe Oregon Utility Notification
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Job# 01.00704-01
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Fee
Paid On Receipt# Value/Quantity
I Mechanical I
07/10/2001 6102
07/10/2001 6102
07/10/2001 6102 1
07/10/2001 6102
07/10/2001 6102
Fee Amount
,I
. Minimum Mechanical Permit
Administrative Fee .:Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge. Mechanical
Total Mechanical
Grand Total
$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 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
requ~L prop' ~roJ"'~; gd~dable from the street.
SigrnltUre -_.. .-)
7-/~-c;:?/
Date
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