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HomeMy WebLinkAboutPermit Mechanical 2001-8-7 . . "" I Job# 01.00846-01 I Page 1 of2 TRANS#:01-0006372 DATE:AUG 07 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: 01-00846-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1191 Harlow Rd Spr Assessors Map#: 17032722 Lot: Block: Addition: Tax Lot #: 00400 Subdivision: Owner: Address: Darimart 1554 M Street Phone Number: City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical Install 3 ton gas package Contractor Type Mechanical Contr Contractor MarshaUs Heating 4110 Olympic Slreet, Springfield. OR 97478 Registration # Expiration Date Phone 541-747-7445 Office Use ~O?-.'f.. Land Use: # Of Buildings'fo~ S ~O~ Zoning Code: C~. ~0-C!J~X'g~e,r.cil1p\ ~ Bedrooms: ~O"f,~ ~\~ S~Hea~Spurce: ~~\J l-O Range: 'S '?~~ ~SQ'~Foo~llP ~\\\ _..,\=i\) ,,. !lo.U' \'IVI'" 0\'\'- To request an inspection call the 24 hour recording at 726-3769, All i?l~~~ctior:iS;f~ues~d%efore 7:00 a,m, will be made the same working day, inspections requested after 7@I)~a~m),)Yd!I:belilade the following working day, I>-~'{ ,\'l'l Required Inspections Mechanical Quad Area: # Of Units: Constr, Type: Water Heater: Rough Mechanical Final Mechanical - Prior to cover, - When all mechanical work is complete. 01}\0 ~~llaS 'l1.)\iX\\'l \\l."" Ie aQ,of\ \ \01\~ ,,0('1 ",a 01 0 sa O'\- ~'Ola" o'O'l\\' ~esel 5'2..0 E.\,\"I\O. ;oo~\a ~osa II} :1\ OJ>,~ 9 11}\0S 'O'l J>,"\"I II}\aS ('I\Gl."I \~IOl}g 0\ \~a 0('10 \o\~?""C\l.\iO('l C,,~o'\ .OO'\~ ^ collia:"'a \a\0?~lce\iO('l \111 .n.u ",.<\1" \a' II' ~\O\II # Of Stories: ~o oJ>,~~~1~n!.(fez\!;, \.\,\0 0\i\\\'I ~l' Current Units: \~090. '~ro~9seda \!,J1its:>~.~~'2.'Z Census Code: Does not apPly~\\\('I~1 \01 \~ I is '\ .<00 ('I1}ll''O C0('1\a Total: I Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: . . ,-'" Job# 01.Q0846.Q1 "Fee Paid On Receipt# Mechanical 08/07/2001 6372 08/07/2001 6372 08/07/2001 6372 08/07/2001 6372 08/07/2001 6372 Page 2 of2 Value/Quantity Fee Amount 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 requeste a he proper time "('t~~.atll1e project address is readable from the street. I..., /. ' e~j)UJj ~lf /YJ ~/7()/ Signature'1 U,/ ---" Date I 1 $33,00 $3,60 $12,00 $10.00 $3,15 $61,75 $61,75