HomeMy WebLinkAboutPermit Mechanical 2001-2-13
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I Job# 01-00120-01 I
Page 1 of2
TRAN8~:01-0004433
DATE:FEB 13 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00120-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1450 Harbor Dr Spr
Assessors Map#: 18030200
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 00701
Subdivision:
Claude and Lois Fairbanks
84673 Parkway
Phone Number: 541-747-8253
City/State/Zip: Pleasant Hill, OR 97455
New Value: $0
Scope Of Work: Mechanical
3 ton heat pump
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor Registration # Expiration Date Phone
Home Comfort Heating & Air ConaitOTIC8'4164 6/25/2001 541-345-2838
Po Box 24205, Eugene, OR 97402HIS PERMIT SHALL EXPiRE IFTHE WOR1<
/ offic:i'U~~UHILt:U UNUi::H fHIS PERMIT IS NO'!
L:UfviMENCED OR IS ABANDONI:O 1:0.9 .
.Land Use: ., # Of Bulldmgs:
'",y 180 DAY PERIOD
Zoning Code: . Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
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,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Rough Mechanical
Final Mechanical
i
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-: '- \. '~t '
Required Inspections .' .
I Mechariical,,"-vul'" ,nmupt, vA':; '\,,'.:-11.
P. t .. "":I' ) ,~,!..,ir. .~onl:J".. ("".: .~I'~ ~11"o hI
- nor 0 cover, ,. .......,.
-When all mechanical work'is'co'mpiete:,n>' ,.\lu!.. m. t;~k/ll \,:,10
. ',' ,.... '-'" 'J":'. ..!at. ,1I0lificJt;on
',': !>-l).
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less tha n 1 00,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 01-00120-01
Paid On Receipt#
[' Mechanical
02/13/2001 4433
02/13/2001 4433
02/13/2001 4433
02/13/2001 4433
02/13/2001 4433
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Page 2 of2
Value/Quantity
I
Fee Amount
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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.
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