HomeMy WebLinkAboutPermit Mechanical 2002-7-31
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SPRINGPIBLD
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225 Fifth Street
Springfield. OR 97477
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I Job# 02-00928-01 I
Page 1 of 2
TRANS~:01-0010125
DA TE : JUL 31 2002
AMT RECD:2 $ 123.50
CHANGE:
CASHIER:032
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00928-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1058 Island Dr Spr
Assessors Map#: 17033421
Lot: Block: Addition:
Tax Lot #: 00314
Subdivision:
Owner:
Address:
Nancy Cochrane
1058 Island Drive
Phone Number: 425-788-6703
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Chittim Enterprises
115 Lawrence St, Eugene. OR 97401
Registration #
47396
Expiration Date
3/8/2005
Phone
541-461-2101
- Office Use
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.
Rough Mechanical
Final Mechanical
Required Inspections
I M h ' I hi I t:.'I,IIlJN:Uregon law reqUires you to
ec amca 0 urn
_ Prior to cover. 101l0W ,ules adopted by the I regon t'f' Yrtl
. . .' 1rhfication Center. Those ru es are se 0 1
- When all mechanical work IS com~~~AR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800.332-2344).
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does n~ ilImlY..
UllliE:
Total: ~~~ PE~MIT SHA~l EXPIRE IF THE WORI(
- .. 18r.,Z[e UI,[,cn ,",;) I'tRMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
IArea (Sq. Feet)
I Main: Accessory:
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Job# 02-00928-01
Paid On Receipt#
Mechanical
07/31/2002 10125
07/31/2002 10125
07/31/2002 10125
07/31/2002 10125
07/31/2002 10125
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Page 2 of 2
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Fee
Value/Quantity
Fee Amount
Minimum Mechanical Permit
8% 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
requested at the proper time and that the project address is readable from the street.
~ :t.k./li~'.-J 7-3}-()<
Si!1lfature ~ Date
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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PAY TO THE ORDER OF
SPRINGFIELD BRANCH
US NATIONAL BANK OF OREGON
FOR DEPOSIT ONLY 1 536 0145 250B
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES DEPARTMENT
JUL 31 2002/123.50101-0010125
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