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HomeMy WebLinkAboutPermit Mechanical 2001-9-10 \ " --, . .I , 225 Nerth Fifth Street Springfield, OR 97477 . . I Job# 01-00975-01 I Page 1 ef 2 TRANS#:01-0006645 DATE:SEP 10 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: 01-00975-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1252 Assessors Map#: 17032811 Lot: Block: Owner: Lerne Lp Spr y y "" Tax Lot #: 03400 Subdivision: Addition: Duane Hammend 1252 Lerne Lp Phone Number: 541-741-0548 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Mechanical Furnace and AC Contractor Type Mechanical Centr Contractor Central Valley Air 830 Valleyweed, Salem, OR 97306 Registration # 127032 Expiration Date 2/15/2002 Phone 503-932-8304 \.IO\\\V Office Use . eC\UI1eS , I.lliX\\'j Quad Area: Land Use: # Ot'B~'irdings:el' e\ \el\n #OfUnl'ts.. Z . C d O~'.Ol"O~..,-,'\IIv-G"le~.n_()()'- onmg 0 e: <'O~\\\. .' ccupancy. roup.:>.. "',' ",'f\"""\~ s a.o()~' ~.,~"'J' .- 01"... - ~es v, Constr. Type: Bedrooms:,.... ... 1"le ~.Heat Source: . .",,,lll ~ ". v ee,"- ~ \(\,V-- ,\ ,,,- l'e Water Heater: Range: \O\.~ a.\iOl' Q'\ .~ll~ ~oo~ge'1 0 'e\e~nO . ol' . _",he _'" C". . ....1"\ \.I \ ~"'Pl \. ..~...Q.\\ \~- p..?o ':l.r 1:/ OV'-INO\'>' :., NO"" Te request an inspectien call the 24 heur recerding at 726-3769. AII~~P.~.cticiri0~gue~~~.:.l?,efere~7.1Q,0,A). a.m. will be made the same werking day, inspectiens requested after,7<00G~,m\ wilj p'~Jmaaet!be'\fellewing werking day. . C tt\'Oel\O ~elis ,.t> !'Ill eel' Required Inspections I Mechanical I - Prier te cever. INOf\.~ - When all mechanical werk is cemplete.C~: :f,.~\f\.'C. II' i\-l'C. ~Oi ~O\\ . S\-If>,\'\' C 'C.f\.\--1Ili IS 'nollS ~'C.t'.\--1IliD I.l~D'C.f\. i\-llS ~Ql>\,=-l) I'Of\. f>,l.li\-lOt'.I'Z.'C. Ot'. IS f>,'Of>,~ . ...~~C'C.D l'1 CO\--1lwc- pl't'.\O~' # Of Stories: ~ ,I:,Cl \:1!I~iglit (feet): Current Units: f>,l;!i Proposed Units: Census Code: Dees net apply Rough Mechanical Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Ar~a (Sq. r ,~ ,) _ Mam: Accessory: Total: ,\ ~ ,;/ Fee Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total . Job# 01-00975-01 Paid On Receipt# Mechanical 09/10/2001 6645 09/10/2001 6645 09/10/2001 6645 09/10/2001 6645 09/10/2001 6645 . Page 2 of2 Value/Quantity Fee Amount 1 $33.00 $3.60 $12.00 $10.00 $3.15 $61.75 $61.75 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 proje . I further agree to ensure that all required inspections are requested atthe~er time an hat e project address is readable from the street. A-:70 ~ ~ Signature /..- / t? -- 0 / Date