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HomeMy WebLinkAboutPermit Mechanical 2001-5-9 ..---'" - .; . ~ I Job# 01-00468.01 I . Page 1012 TRANS#:Ol-0005227 DATE:MAY 09 2001 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00468-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5320 Leota St Spr Assessors Map#: 17023331 Lot: Block: Addition: Tax Lot #: 05400 Subdivision: Owner: Guy Kanipe 5320 Leota Street Address: Scope Of Work: Mechanical heat pump Contractor Type Mechanical Contr Phone Number: 541-726-5324 City/State/Zip: Springfield, OR 97478 New Value: $0 Contractor Registration # Associated Heating & Air Conditioning Inc 106275 Po Box 412, Eugene, OR 97440 Phone 541-683-2590 Quad Area: # Of Units: Constr. Type: Water Heater: 1 (VN) Wood Frame Expiration Date 8/31/02 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Dwelling AnENTION:OregoHeat'So\lrce:; you to follow rules adoptedSq.1F.ootag!l:,n UUmy . . _. *_..u. l"UUlluQUVII VC:IIlOI. 1 IIV~g I UIUo,J ""I.... ......., ...., '" To request an inspection call the 24 hour recording at 726-3769JAlt:iiispection-s1requesteej'belo'reS7::00101. a.m. will be made the same working day, inspections requested''llfter.''Z:OOla~m)lwilllbelmadeltlie'followif1Q1Y working day, calling the center, (Note: the telephone . nl!mber for the Oregon Utility Notification ReqUired Inspections Center is 1-800-33<!-<!~J. Mechanical I Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Dwelli~OnCE: # Of Stories: THIS PER"I'i~glitt(f~e'i~PIRE IF THE WORK Current Units: AUTHORI;P.i:oposettUniis:"ERMIT IS NOT Census Code: New fo.t!gJf.lR[!!!l,CED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Total: I ..._~, ;. . Job# 01-00468.01 . Page 2 of 2 Fee Paid On Receipt# Mechanical 05/09/2001 5227 05/09/2001 5227 05/09/2001 5227 05/09/2001 5227 05/09/2001 5227 Value/Quantity Fee Amount Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total 1 $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 requested ~ the proper time and~t the pro' ect address is r adable from the street ,,' \ ~ n o\l\() \J '\ (\ Signature 5/1i.\/nl Date