HomeMy WebLinkAboutPermit Mechanical 2001-9-26
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225 North Fifth Street
Springfield, OR 97477
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TRANS#:01-0006818
DATE:SEP 26 2001
AMT RECD:2 $ 61,75
CHANGE:
CASHIER: 061
I Job# 01-01053.01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01053-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4512 Holly St Spr
Assessors Map#: 18020512
Lot: Block: Addition:
Owner:
Ken Harris
4512 Holly Street
Phone Number: 541-741-0740
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
Tax Lot #: 06801
Subdivision:
Add AC to existing gas furnace
Contractor Type
Mechanical Contr
Contractor
James Heating
115 Lawrence St, Eugene. OR 97401
Registration # Expiration Date
Phone
541-461-2101
Office Use
Quad Area: Land Use: (lJPf. Buildings:
# Of Units: Zoning Code: G ~~ 'II'IOccupancy Group:
to'''' \~'i't>"
Constr. Type: Bedrooms: ~,?o\,. _n~~ Heat Source:
Water Heater: Range: ",,\r~'. ~v.~ ~ .."",,:> ~~~ ,:;.cftFootage:
V' '. ',.' - >)'0" ~).,-
To request an inspection call the 24 hour recordingat'726-37089!~AII ins~~ions requested before 7:00
a.m. will be made the same working day, inspeci]on'S requ'E!St~~\.afte~7:00 a.m. will be made the following
working day. \>-'0'Y'~~9'*'~;~~Qi\l'-
R r.i~d I _,,]l<i .
equ re nspectlons
.,.\'t. ,- ~\O
M~'chanical ,5\\0S 'lo\)\~\\'l :1\
- Prior to cover. >ll \001 \0QP~ s0\ \o~ ~.
- When all mechanical work is complete. 0Q,0{\ \1): \~0 0 S 0>\0 '!,~'l-.r:J:j 'O'l
~\'O\ 6 'O'l \.;)\0 i>-?o ~0S
~\O\" 60?\0 ,\~OS0 .;)Q,~ 0 \~0 \\} 0~0
~~~.;)\0S ~0{\\0\O\() Ir'\o ~\0S 0\ \0\0~~c.0>\\0~
~\o'll . o{\ \-0 . ~ c.0 . \~0 ,</\0\\ ~
\0 'i..\~\C.0>\~~7;()() II 0'0\0>\ ~o\~\~\\'l ~,\.
,</\0 i>-'?- . <\\1): r~\0\' "o~ ~7:
# Of Stories: ',~ 0 " -(O\Height (feet):"".~~
, !:Iv' C\'" n\;-' 'O"v
Current Units: ()O c.",\~\{"P.r,op'osed Units:
,~ 0' ~"".
Census Code: Does not ap'ply':l G0~
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Rough Mechanical
Final Mechanical'
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ Main: Accessory:
Total:
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Job# 01-01053.01 I
Paid On Receipt#
Mechanical
09/26/2001 6818
09/26/2001 6818
09/26/2001 6818
09/26/2001 6818
09/26/2001 6818
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Page 2 of2
Value/Quantity Fee Amount
I
l'
Fee
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.
~~\~ 0-7!o-())
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
Signature
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Date