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HomeMy WebLinkAboutPermit Mechanical 2001-8-15 '-. ...-' ~ / 225 North Fifth Street Springfield, OR 97477 '. -..1 I Job# 01-00886-01 I . Page 1 of 2 TRANS#:01-0006442 DATE:AUG 15 2001 AMT RECD:2 $ 61.75 CHANGE: CASHIER:061 / CiTY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00886-01 Office: 726-3759 Inspection Line: 726-3769 ~ Tax Lot #: 01900 ~ Subdivision: Location Of Proposed Site: 2074 Lomond Ave Spr Assessors Map#: 17032512 Lot: Block: Addition: Owner: ' Richard Fraga 2074 Lomond Ave Phone Number: 541-746-5711 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Mechanical AC and gas furnace Registration # Expiration Date ~\O ,{eli> 'lo\)'i.~\\'l "''(\ p,1)\ 0<;'0 \0" .. '(0 .....0: _().\ ....-\... Office Use {eQ,O<;'o ~~e ;~Ii> 1>'; ~".>~~~ '0'1 ~O e6 e ' ,,~ - ,I) '" Land Use: ~\O '60-V'l ~'(\o'ii o\..#;O~I!li.lildirg~: !\ Zoning Code: ,,-<'~~'\\0'i::'e!\\e,:,\\)~{ o,O',tcupaWd'y,lG}'8up: r :oIl'v v \)v V'f \W '0'" Bedrooms: "O~\O ~,\o<;'o ,,\)" ....\0.\<;'0 ~,t.Heat Source: , 'c~~ z...v 0'" ~ .~,n\.J ~~l Water Heater: Range: ~\o'i.\\~ "" ~<j ""I>'l ,,\e{' (,Sq. ,F.ootage: \~ .....b..T.. . ,\ ,.' _"'" .",0; f');::'~ \'(\-,...().''''' ~r{(\'O~......ev'~~roQv To request an inspection call the 24 hour recording at 726-3Z69. .P.ill'inspections requested before 7:00 a,m, will be made the same working day, inspections reqUestedra~!l'07~0.9:a~m. will be made the following working day. (\ Contractor Type Mechanical Contr Quad Area: # Of Units: Constr, Type: Rough Mechanical Final Mechanical Contractor James Heating 115 Lawrence SI, Eugene, OR 97401 Phone Required Inspections Mechanical - Prior to cover. - When all mechanical work is complete. 'l'I0?-" \'i' ,t\~ 0' C'f.: \... ~'f,.?\?-~ ~\, \S ~ ~O\~ ~\, St\f>.'.: ,t\\S ?~?: D'i'O?- ,t\\S v~?: \:};-\\)~?- ~\)O~'? 0?-\1~\) 0 \S f>.'i\~ # Of Stories: f>.\l'~ ",!;Ieigh'tl(feet): ","_"v' dW''''' Current Units: CO",'''''' ProposeCl Units: ~vr ' Census Code: Does not apply'/) ,.. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: Total: ~ . ~/ Fee, Job# 01-00886-01 I Paid On Receipt# Mechanical 08/15/2001 6442 08/15/2001 6442 08/15/2001 6442 08/15/2001 6442 08/15/2001 6442 08/15/2001 6442 . Page 2 of2 Value/Quantity Fee Amount I One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State 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 the proper time and that the project address is readable from the street. ~~ B-/~-ol 1 $4,00 $29,00 $3,60 1 $12,00 $10,00 $3,15 $61.75 $61.75 Signature - Date