HomeMy WebLinkAboutPermit Mechanical 2001-5-22
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I Job# 01.00529-01 I !
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Page 1 of 2
TRANS#:01-0005491
DATE:MAY 22 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: 01.00529-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2143 00011th St Spr
Assessors Map#: 17032614
Lot: Block: Addition:
Tax Lot #: 01310
Subdivision:
Owner:
Dick Jones
2143 11th street
Phone Number: 541-747-7201
Address:
City/State/Zip:
New
Springfield, OR 97477
Value: $0
Scope Of Work: Mechanical
heat pump
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating
706 Oscar SI, Eugene, OR 97402
Registration #
84164
Expiration Date
6/25/2001
Phone
541-345-2838
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range: AUTHORIZED UNDER~qHgC?q,~!1~IIS NOT
L;UMMENCED OR IS ABANDONEI1 Fae
To request an inspection call the 24 hour recording at 726-3769,~1 insp.ection~ reguested belOre 7:00
a.m. will be made the same working day, inspections requeste'd~afte?l7!OOYat-'m. Jfiir-he made the following
working day.
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
NOTICE: # Of Buildings:
Occupancy Group:
THIS PERMIT SHALL iHBa'fsdurceE WORK
Required Inspections
Mechanical
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)
_ Main: Accessory:
o on law rCl'L.I;~S yoPlO
ATTENTION: r~~d by the Oregon ULility
# Of Stories: follow ruleH~ilrRt (feet):) rules are set forth
N t'f'cationL"'.."" "..' R952-001-
Current Units: 0 I I p.roposed'l:lnitS!1 OA
in OAR 952-vv, ~.' \ . f the rules by
Census Code: Does no~,ap'ply may obtain caples 0 I hone
uU~v. \ ~" (Note' the te ep
tiling the cenoler, on Utility Notification
Total: n Imber!Or,:~~:~ ~~~nO-332-2344),
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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# 01.00529-01
Paid On Receipt#
Mechanical
OS/22/2001 5491
OS/22/2001 5491
OS/22/2001 5491
OS/22/2001 5491
OS/22/2001 5491
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Page 2 of2
Value/Quantity Fee Amount
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 / ~~oiect a~is readable from the street.
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