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HomeMy WebLinkAboutPermit Mechanical 2001-2-13 ", . . 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 !' -: '- \. '~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: - . 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 . 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. ~~#dT~ "'''',re t/ cJ ') ---.... --- ------.~----_._,- d-/3--/ Date