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HomeMy WebLinkAboutPermit Mechanical 2002-3-7 , , . ,- . e I Job# 02-00258-01 I Page 1 of 2 TRANS#:01-000B243 DATE:MAR 07 2002 AMT RECD:2 $ 61.75 CHANGE: CASHIER:061 225 Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00258-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1283 Hamilton St Spr Assessors Map#: 17033422 Lot: Block: Addition: Owner: Address: Tax Lot #: 00226 Subdivision: Gunther Feurmsteiner Phone Number: 541-741-1721 City/State/Zip: Springfield, OR 97477 Repair Value: $0 Scope Of Work: Mechanical 1283 Hamilton Street Contractor Type Mechanical ContI' Quad Area: # Of Units: Constr, Type: Water Heater: Replace gas furnace Contractor Registration # Expiration Date Phone James Heating - Chittim Enterprises 47396 3/8/~005 541-461-2101 115 Lawrence St, Eugene, OR 9740.1'-...'.. " . ': . .":" "',',: 'c,~',~'" . Ul ',", ,. . '. "l.;t:j~ '-1(iDnteu OV I'JV"~"j,,"1 I. ': Offi- .L'U~"-.+I'r"\ r:,.'\tiIA,- Tl10se rule~ a.re ~,el. UI Ice' se' ' . , , .. -".' , L d U iI. OAii05::'-Olll'0010 ttllOUgl1 O#A0~ ~.)~.~:,'- an. seUr,90. You may o':Jtain C()PI~S ( . )~UII~lngs: Zoning Code~alling the center. (Note:t~(?~~u,p~~~~ Group: Bedrooms: nurnberiorthe Or:o:gon UllhlYHeatlSource: Range: Center is 1-800-332-2:sq1lFootage: 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? D ,Area (Sq. ;- __.) I Main: Accessory: Rough Mechanical Final Mechanical Required Inspections I Mec~j12i~~~~ I - Prior to cover.. , TI-lI~ P!=f:lMIT SHALL EXPIRE IF THE WORK -When all mechanical work Is'complete:' AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . Job# 02-00258-01 e Page 2 of 2 , . . Fee Paid On Receipt# Mechanical 03/07/2002 8243 03/07/2002 8243 03/07/2002 8243 03/07/2002 8243 03/07/2002 8243 Value/Quantity Fee Amount Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical 1 $33,00 $3,60 $12,00 $10,00 $3,15 $61.75 $61.75 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. ~~~~ 3--- 7-6Z- Signature Date (