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HomeMy WebLinkAboutPermit Mechanical 2001-2-8 v , -.... . . Job# 01-00111-01 Page 1 of2 TRANS#:01-0004407 OATE:FEB 08 2001 AMT RECO:2 $ 26.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 Location Of Proposed Site: 1986 Assessors Map#: 17032713 Lot: Block: Owner: Marian Lohman Address: 1986 McDonald Ct Scope Of Work: Mechanical RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00111-01 Office: 726-3759 Inspection Line: 726-3769 McDonald Ct Spr ~ Addition: Tax Lot #: 07300 Subdivision: Phone Number: 541-726-1342 City/State/Zip: Springfield, OR 97477 New Value: $0 install direct vent with 2 propane bottles for fuel source Contractor Type Mechanical Contr Contractor Suburban Propane of Eugene 110 HWY 99 N, Eugene, OR.97402 Phone 541-344-2283 Quad Area: # Of Units: Constr. Type: Water Heater: Registration # 112216 Expiration Date 3/6/2002 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: :o."~,.,-",.- S F ~.,'j.,~...7.':': q. ootage: T~:IS PE:'1iv11T SI. 1/\1I. EX~JI::;E IFTHf: INOR:< To request an inspection call the .24 hour recording at 726-3769. All in~pec~!?,~-!.~qp,~~t~,d8~f8(!'l. 7,:g,q~~r:'S NO . a.m. Will be made the same working day, inspections requested after 7.:00'a!m~ wllI'be'made the'followlng . k I I working day. C':-..:.;'::I\~CE)O::-IS:\J.\o':CO~!EJFO:=t Required Inspections 1'"" 1~~ fiLII' ,. :'.:.",;) Mechanical Rough Gas Rough Mechanical Final Gas Final Mechanical - Prior to cover. - When all gas work is complete. - When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: r:'I-I_.,. .... 1(,111;\; ,':' . '.~ . . ~ ,-', .,\11 I, :~!:]y Ni.Jlil;~u.lll.J1 ;,..hd ,. I ,'", .. /I:J~ .'(" '~t;';I::' in O,ln::J:,',,-lIu,-IIIl, " ,1".II;rll,. I,\,'j ).i'~-I)u ,- OO~O. Y J'l "'~' ",',,+ 'hI ,,,,...; ~ . )( ..;~,,~ (ll~'\3 by # Of Stories: (;!:I,~!gj~.(!e.!l.!):; .. ,,; :.: .I1.::.:11.'JJl3 Current Units: nUP.r..op.osed ,Units: ,:. ," J::,i':Jtion Census Code: Does not apply Gz. ,_.', . _ . ". ~_-..-l). Total: .. ..... . Job# 01-ll0111-ll1 . Page 2 of 2 Fee Paid On Receipt# Value/Quantity Mechanical 'I 02/08/2001 4407 02/08/2001 4407 02/08/2001 4407 1 02/08/2001 4407 02/08/2001 4407 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 requested at the proper time and that the project address is readable from the street. :;.// '~1/ f;-L~ :<,/otf/o/ $9,00 $.45 $6.00 $10.00 $1,05 $26.50 $26.50 Signature Date