HomeMy WebLinkAboutPermit Mechanical 2001-5-9
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I Job# 01-00468.01 I
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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
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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
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Job# 01-00468.01
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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
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Signature
5/1i.\/nl
Date