HomeMy WebLinkAboutPermit Mechanical 2001-10-26
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01-01194-01 I
Page 1 of2
TRANS#:01-0007104
DATE:OCT 26 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01194-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 650 Harlow Rd Spr
Assessors Map#: 17032234
Lot: Block: Addition:
Tax Lot #: 02300
Subdivision:
Owner:
Craig Nelson
650 Harlow Rd
Springfield, OR 97477
Value: $0
Address:
Phone Number: 541-746-4946
City/State/Zip:
Scope Of Work: Mechanical New
Recreation Room
Install heat pump and air handler in rec room
Contractor Type
Mechanical Contr
Contractor
Registration #
Expiration Date
Phone
541-747-7445
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
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01'1 'v' Ote~v. ,lOW'
Office Use . Ol".c:"g "'b~\ne ateSe 00\-
.,..,-"-N,I ~,Ieu tu\eS ~o'6~- ,
Land Use: 1'0\'" les auol" ,nose fltlJ0f'Bujl~in'!js:
. . \\0'1'1 tU cel'lle(. "'tOug . ...... IIJI .
Zomng Code: ~'iol'l 00\011, 'les0ccup.ancy2Group:
~\iCv' 00\' . coil ",I"\'''-..!,\
Bedrooms:;.\o I p.Po 9'62- oblall'l NO\e'. lHeat ~p',\!rce:'
Range: il'l O^O. 'Iou l'I'Ia~cel'llet. ~ 1'1 \.I\iS(i.~~tage:
n(\..., Ioht:\ ____,,0 ,:,,~~I'
- \\1\'''. fle""-- Q-ej,)v-
To request an inspection call the 24 hour recording at 726~:l}Il9~t~lj)ti~2pecti~s requested before 7:00
a.m. will be made the same working day, inspections requ~~ted afte'}\'j:OO 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. ~O'?-.~
- When all mechanical work is complete. \~ ,\,\~ 0'
f: ~'j,.'i'\'?-.~ ~\' \'0 ~
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',\,\\'0 'i' ~ ~I) lj'f<l) B[>.I:i.I)O
~,\,\O'?-.\'V I) O'?-. \'0 t>I
t>I 1",,'C:2. ~'~\J'
# Of Stories: CQw..\ ,:." ~~Ig!it(feet):
Current Units: t>,'f<'l \~\) I)Proposed Units:
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
Total:
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Fee
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
r Job# 01-01194-01
Paid On Receipt#
Mechanical
10/26/2001 7104
10/26/2001 7104
10/26/2001 7104
10/26/2001 7104
10/26/2001 7104
10/26/2001 7104
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Page 2 of2
Value/Quantity Fee Amount
1
1
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
reque~~er;;Zthe project address is readable from the street.
SignaYure
$25.00
$3.60
$12.00
$8. 00
$10.00
$3.15
$61.75
$61.75
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