HomeMy WebLinkAboutPermit Mechanical 2001-8-15
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225 North Fifth Street
Springfield, OR 97477
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-..1 I Job# 01-00886-01 I
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Page 1 of 2
TRANS#:01-0006442
DATE:AUG 15 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
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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
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,{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?-"
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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'/)
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
Total:
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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
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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