HomeMy WebLinkAboutPermit Mechanical 2002-5-29
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00628-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 2351 Loch Dr Spr
Assessors Map#: 17032511
Lot: Block: Addition:
Tax Lot #: 01900
Subdivision:
Owner:
Marcia Claypool
2351 Loch Drive
Phone Number: J!541~7S6!3896'reg~""J:.w 18yJlftJi> yUU tv
. . folloW rules arlooted bv the Oregon Utility
City/State/Zip: NotllPJm~Jirlgeg,~,?~~ll,e rules are set forth
Alteration in OAR ~Valu811-($O 0 through OAR 952-001-
0090. You may obtain copies of the rules by
, ,. . ,calling the center. (Note: the telephone
ReplaCing eXisting heat pump and air handier/electric fumag,El unh", fO' thl> Orp.non Utilitv Notification
Centp.ri~ 1-8nO-:'1:'1':)-':>344).
Expiration Date Phone
Contractor Registration #
Associated Heating & Air Conditioning Inc 106275
Po Box 412, Eugene, OR 97440
8/31/2002
541-683-2590
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: NOTICE: Heat Source:
Water Heater: Range: THIS PERMIf-lSnJl.l!.l!.tfi1l9IRE IF THE WORK
AUTHORIZED UNUtK Inl~ r~i\[.lI-; 13lilF-:-
To request an inspection call the 24 hour recording at 726-3769. All in;;Pfl.<;'I~~_S>~~~ED fOR
a,m, will be made the same working day, inspections requested after ~'J, '0 A' e'(ollowing
working day, ANY 1.. .
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
rArea (Sq. Feet:
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 02-00628-01
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Value/Quantity Fee Amount
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Fee
Paid On Receipt#
Mechanical
OS/29/2002 9274
OS/29/2002 9274
OS/29/2002 9274
OS/29/2002 9274
OS/29/2002 9274
OS/29/2002 9274
1
1
$25.00
$3.60
$12,00
$8. 00
$10,00
$3.15
$61.75
$61.75
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
Stale Surcharge - Mechanical
Total Mechanical
Grand Total
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 at \heyro~er time and that the project address is readable from the street.
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Signature
Date