HomeMy WebLinkAboutPermit Mechanical 2001-8-3
225 North Fifth Street
Springfield, OR 97477
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I Job# 01-00835-01 I
Page 1 of 2
TRANS#:01-0006349
DATE:AUG 03 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: 01-00835-01
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 25 Lorie Ct Spr
Assessors Map#: 17032241
Lot: Block: Addition:
Owner:
Sandra Jeffs
25 Lorie Ct
Address:
Scope Of Work: Mechanical
Tax Lot #: 02500
Subdivision:
Phone Number: 541-988-4390
City/State/Zip: Springfield, OR 97477
New Value: $0
Installing heat pump with air handler
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating
706 Oscar Street, Eugene, OR 97402
Registration #
84164
Expiration Date
6/1/2003
Phone
541-345-2838
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Office Use . .<". ,\y,'<:- "'", ~O'\
Land Use: \1f~Of..~~!,dlngit:
Zoning Code: ~. '\.. ,<:-i-~ Os.c;upancy:'Croup:
,.~. ,'l'o\.. -<~"i,v ,,(-v
Bedrooms: K\v ~ S'P r;;.'?- '"ea~};!ource:
Range: ~O o,<:-'?-~ '"' '0>~<ij ~ ~~qfFootage:
.~c. '\ AGo\..) _ \"'"'
"\\" .'0'<''''"' "U" ~.
To request an inspection call the 24 hour recording at 726-3769,)~AII i.1)..~p'ictlons,'ficjuested befDre 7:00
a.m. will be made the same working day, inspections requestell C15~.r,'7:00;J.;rr;( will be made the following
working day. \J ~ \'OI:J
l'o~
Required Inspections o\) ,-
. eS'! '~\\,!
Mechanical leo.,\l\l 0"'0>\\ \ ,,-X\
- Prior to cover. 0" \'3-~X\e OleQ, Ie se\ _~()'\'
- When all mechanical work is complete. o~.Ole~eo '0'1 1\l\eS ~~ reF:'?'; S '0'1
~~"'\~ oo? ",\X\ose :110 e l\l\e
~"'\"I l\l\es lI'e,,\01. () \X\lo\lQ,es 0\ \X\ e?X\o"~ "
\o\\~-:l '3-\\0" G()(),\-()()'\ \" co?\ . \X\e \0\ \\\\c'3-\\O
~o\\\\~~ 9<:.'2"",'3-'1 O~:l. \,~o\~\\x\\'I ~?.l,~.
\" 0 '1o\l cell e<:;'o" ",~.Z:r-'
ro.9()' . \~e , 01 ro.O.'?i"
# Of Stories: ()v \\\l'Height'(feet):)V
ca: ^-('-' ..,,(\b
Current Units: "\l,,,'Cpr~posed Units:
Census Code: Does not apply
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
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 emplDyees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspectiDns are
requested at~~~d.that rOje~t a dreSSj~ble from the street.
Signature v {(. - / /
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Job# 01-00835-01
Fee
Paid On Receipt#
Mechanical
08/03/2001 6349
08/03/2001 6349
08/03/2001 6349
08/03/2001 6349
08/03/2001 6349
08/03/2001 6349
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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Page 2 of 2
Value/Quantity Fee Amount
I
1
1
$25.00
$3.60
$12.00
$8.00
$10.00
$3.15
$61.75
$61.75
y3-o/
Date