HomeMy WebLinkAboutPermit Mechanical 2001-08-27225 North Fifth Street
Springfield, ot-. l'- n77
Location O1'l, -
Assessors , 1::1
Lot:
Job# 01-00925-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Pagel of2
Job Number: 01-00925-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00907
Subdivision:
!sPR!NGFIELD
rd Site: 2668 00033rd St Spr
17021931
Block: Addition
ctrY oF SPRTNGFIELD, OREGON
Owner:
Address:
Scope Of \^/orl
Sleve Bour
2'nB 33rd Street
''^hanical
Phone Number:
City/State/Zip:
New
541-954-1241
Springfield, OR 97478
Value: $O
-lrrl heat pump
Contractor -r
, ,.
Mechanical Cr'''-
Contractor
l',4ershalls Heating
.11 10 Olympic Street, Springfield, OR
e7478
Registration # Expiration Date Phone
541-747-7445
Quad Area:
# Of Units:
Constr. Ty-^
Water Hear
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an i;:-
a.m. will be mad :
working day.
icn call lhe24 hour recording at726-3769. All inspections requested before 7:00
:,ame working day, inspections requested after 7:00 a.m. will be made the following
Required lnspections
Mechanicii I
-Prior to cover.
-When all mechanical work is complete
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Gode: Does not apply
Rough Mechen:-'i
Fina! Meclr.
Construction l " ^':
Occupancy 3;,. :
# Of Buildirr''':
# Of Bedroc '. :
Handicap A^.":'? ]
Area (Sq. ,
Main:Accessory:Total:
.roUto
Utr\tUegofl rh
lJ:**'lJ"
.GU .krta\t
Job# 01-00925-01 Page2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum lv1:cl r :lri::rl Permit
Administrati'"ra'r:a - I rechanical
Less than 'lC ' ' U
Mechanical Is.'r' -ilr; ;
State Surcharr; :-'- f .l:chanical
Tota! Mechrni:rl
08t27t2001
08t27t2001
08t27t2001
08t27t2001
08127t2001
6540
6540
6540
6540
6540
$33.00
$3.60
$12.00
$10.00
$3.15
$61.7s
Grand Totrl
By signature, I :l^'r rnd agree that I have carefully examined the completed application and do
hereby certif:,, 1'' i ' information herein is true and correct, and lfurther certify that any and allwork
the State ol 'irrther state that only contractors and employees who are in compliance with
ORS 701.0. ;ed on this project. I further agree to ensure that all required inspections are
requested l .er e and that the project address is readable from the street.
Signature Date
$61.7s
1