HomeMy WebLinkAboutPermit Mechanical 2001-9-26
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I Job# 01-01052-01 I
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Page 1 of 2
TRANS#:01-0006819
DATE:SEP 26 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 061
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SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01052-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
~~:'~;:"l::o:2~3769 *
Location Of Proposed Site: 1682 Lawnridge Ave Spr
Assessors Map#: 17032521
Lot: Block: Addition:
Owner:
Marcia Jordan
Phone Number: 541-746-4064
City/State/Zip: Springfield, OR 97477
New Value: $0
Address: 1682 Lawnridge Ave
Scope Of Work: Mechanical
Heat pump
Contractor Type
Mechanical Contr
Contractor
James Heating
115 Lawrence St, EUgene, OR 97401
Registration # Expiration Date
Phone
541-461-2101
# Of Buildings:
Occupancy Group:
H S-"
-:.a,,~...pu~~e:
,-Sq:.Footage:
..'\...." .c..\'4'"
~~" ~~\ ,-
To request an inspection call the 24 hour recording al726-3~9. All insp.ecl~ns-reij'i'lestecf.tfefore 7:00
a.m. will be made the same working day, inspections regu~ted aftejd'b~~,m~'Wi~~\'iiiade the following
working day. ,",0' ~,?-\fi-\ ~'f<\)\- ~~
-<.~\S \' "'.,~\) ~o. ~S
Required Insl!ectlons", _ ,,\.1_
~..,.,,- .~ ~~\J
I Mecli'anical/l:>' ,:j \'
-Prior to cover. c.v'~ ,~v' .
-When all mechanical work is co!1i'plete.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
\l\0
;.,~0S '10~\\i\\'1 ~"<'-
,;l 100,\l~0Q,0<:- s0\ \0 ~\'
0<:-\<0: :<:-0 0 '3-~0 S'/./:J '0'1
.010~ 00 '0'1 ~ 0 1\l\!3~\I>~ <a 1\l\0S 0
~\O";;\i. 00'?'1 -<,,,<,-0":> \lQ,"<'- ~ ~0 ~O~. <:-
A.'Y:-~.~0":><O: <:-\01':\O~10 n\0":>00\0\0\\c'3-\\0
l"\' " Iv '-',e CO cO'< <<' ,\0\\
# Of Stories: \o!:l~ili~ti(f~~!):' 'f;j\i\<:- ~o\e. '\i\\'1 \' o.',\-
C t U . p'.,r. '-"a U ..1) . ~ ~'1 n'?!<
urren mts: ,\(! .ropose , mts:,0'- ,,0<:- "n_"
\' ",., \l' 0" 0'" ~""
Census Code: Does not apply\<:- 0 ~.-{O ~0 C ~0 01 .'000-
Oo<a ,,\~\<:-Q, \01 'I ~\,,:>:\
I c~ 01 ~\e
Total: <:-\l~'O (,0
Rough Mechanical
Final Mechanical
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Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 01-01052-01
Paid On Receipt#
Mechanical
09/26/2001 6819
09/26/2001 6819
09/26/2001 6819
09/26/2001 6819
09/26/2001 6819
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Page 2 of2
Value/Quantity Fee Amount
I
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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
re~the prop~d ~h~t the project address is readable from the street.
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Signature-- .
l' - 7./'a -0 )
Date