HomeMy WebLinkAboutPermit Mechanical 2001-11-2
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Job# 01-01224-01
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Page 1 of 2
TRANS#:01-0007164
DA TE : NOV 02 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01224-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 948 Island St Spr
Assessors Map#: 17033421
Lot: Block: Addition:
Tax Lot #: 00302
Subdivision:
Owner:
Joseph Calbreth
948 Island Street
Scope Of Work: Mechanical
New
Phone Number: 541-726-9025 ~\O
_ -.\0 ,&\\'1
City/State/Zip: Springfield, O~\9747l,)\\ 'O~~
,,\ \160\ ",Q,O\ '1>16\ ~....
Value: 16<$0 7>\16 S7:'J '0'1
.O\eQ,O~'O'I ': \\}\0~\>o-~ ~ \\}\e'1> 16
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~t""...~ r.. z,; d~'(' _ ,y\'<. ..0'& ~o\0.o ...?I.\'\
1'-\ ,. ~\}'- (je'~' l:)\i'''. cOY. 01$'''' ~O'\"
Registi'~tion~# ,,(EiCl~iratl'on(Date~\'1 ~ .~Phone
,,>oJ- 'c;o." ~v \J~ ~~ \J'" r't~-
~o\.~'...~~'j ~~7>'1e(\\e\'eQ,O~ ~'!,7: 541-747-7445
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Address:
Install heat pump and air handler
Contractor Type
Mechanical Contr
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Office Use
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
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:
R . d I t' ')9,:f.
equlre nspec Ions ~ '1'- ;\
I Mechanical I ~ \~"'\~ ;\ \S ~O
-Prior to cover. ~j..~\~ ~~~,*\ O~
- When all mechanical work is complete. ~\~J'c;, S'(,"0\'\' ~'(,\S :.j{:$l"
~O ~~'f:,'\I \:;~\)~~ 'r-~'r-'0-\)
,\'(,\S ~ ~1..~\) a<:(. \S
'r-\:;'\'(,~ ~)'-fJ:.\) ~v..~O\).
I'\"~ ''''''-{
c," o-fl"
# Of Stories: ~tt!ilght (feet):
Current Units: ~ Proposed Units:
Census Code: Does not apply
Rough Mechanical
Final Mechanical
Total:
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Job# 01-01224-01 I
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Page 2 of2
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( .
. Fee
Paid On Receipl# Value/Quantity
Mechanical 1
11/02/2001 7164
11/02/2001 7164
11/02/2001 7164 1
11/02/2001 7164 1
11/02/2001 7164
11/02/2001 7164
Fee Amount
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
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
r:7U~J;: ti~e jj th:~:e:~/)ress is readable from the street. ~I
S;.",",." C /"'J - - 0..
$25.00
$3,60
$12,00
$8,00
$10,00
$3,15
$61.75
$61.75