HomeMy WebLinkAboutPermit Mechanical 2001-9-10
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225 Nerth Fifth Street
Springfield, OR 97477
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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
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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:
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Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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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
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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
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Date