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HomeMy WebLinkAboutPermit Mechanical 2001-9-10 ~ . .' Job# 01-00974-01 Page 1 of 2 TRANS#:Ol-0006644 DATE:SEF' 10 2001 AMT RECD:2 $ 61.75 CHANGE: CASHIER: 061 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00974-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6955 Glacier Dr Spr Assessors Map#: 18020223 Lot: Block: Addition: Owner: Tax Lot #: 04800 Subdivision: Ellis Runk 6955 Glacier Dr Phone Number: 541-746-5429 City/State/Zip: Springfield, OR 97478 New Value: $0 Address: Scope Of Work: Mechanical Heat pump Contractor Type Mechanical Contr Contractor Andys HTG & AC 220 Ruby Av, Eugene, OR 97404 Registration # Expiration Date Phone 541-461-1282 _nil ,\-I'c. .'v" Office Use 0:\ \C~:. t":~?\\'IE. 11': " ~\Q' ~ "1-1/1-'-'-1:' ,-"..,1"\.," Land Use: "S '?E\'IM\\ ., \1~\'9f Buil~ig9.~ Zoning Code: \ \-II OW2E.O \l\'lOE.\'I ~~C:HpanCy Group: Bedrooms: /I-\l\1-I _ ~o:v 0\'1 IS /I-?Heat Source: Range: COWll-<',::~~:'J pc?\09 Sq, Footage: bN'i '10" -' To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a,m. will be made the same working day, inspections requested after 7:00 a,m, will be made the following working day. Quad Area: # Of Units: Constr, Type: Water Heater: Rough Mechanical Final Mechanical Required Inspections Mechanical - Prior to cover. - When all mechanical work is complete, P.I ,t:i\; nON:Oragon law requires you to follow rules acioj)ted by the Oregon Utility I\'oti'iication Center. ThoS3 rulas are set forth in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules by # Of Stories: calli.lg the CenHeightJ(feetj? telephone number for the a."nnn II"':'" "n\'lf'lcat'lon Current Units:' , Proposed 'Units: (:an(::,r IS l-buU-a;;s2-~;;l44). Census Code: Does not apply Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq, Feet) I Main: Accessory: Total: .' . Job# 01-00974-01 . Page 2 of2 Value/Quantity Fee Amount " " , Fee Paid On Receipt# Mechanical 09/10/2001 6644 09/10/2001 6644 09/10/2001 6644 09/10/2001 6644 09/10/2001 6644 1 $33,00 $3,60 $12,00 $10,00 $3,15 $61.75 $61,75 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. ~~~ S6?rrO/Cl(' Sig~ure Date