HomeMy WebLinkAboutPermit Mechanical 2001-8-7
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I Job# 01-00845-01 I
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Page 1 of 2
TRANS#:01-0006370
DATE:AUG 07 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00845-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 7797 McKenzie Hwy Spr
Assessors Map#: 17023630
Lot: Block: Addition:
Tax Lot#: 01100
Subdivision:
.
Owner:
Norman Dolby
7797 1/2 McKenzie Highway
Phone Number: 541-746-3165
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
Electric furnace and heat pump
Contractor Type
Mechanical Contr
Contractor Registration #
Associated Heating & Air Conditioning Inc 106275
Po Box 412, Eugene, OR 97440
Phone
541-683-2590
# Of Buildings:
o.tQilCe. 0, ccupancy IGrouPwWelling
''3 . "n\Ql-' r Int..
"RM\T S\1!i.~af:Source: IT IS NOT
T\1\S 1'<0 Sq::ftootii'g'ilf:RM
._I""\\"'1Cn \ \l\iUi-l ,. __.... ,..,,0
AU' nv' ..-- 5fl,N!.Jv"~'" . -
To request an inspeclion call the 24 hour recording at 726-3769. AII(i(l~p'~C.!i.Oiis:'i'eS&~e'a before 7:00
a.m. will be made the same working day, inspections requested after'7~OO a.m. will:be:maae the following
working day. pN'( ',t,oJ u,.." . -.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Rough Mechanical
Final Mechanical
Expiration Date
8/31/2002
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Required Inspections
Mechanical I
- Prior to cover.
- When all mechanical work is complete.
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
. esVouto
on Ia.W requlr Utility
ATTENTIIOs~~;;t~d bV the ol,r:~~; set lorth
, IloW rll e , ~"oS3 ru ~ Z 001-
# Of Stories: .0 . Height'{feet): hOAR 95 -
Notilicatlv.. _, ",-< ",l'\roU9 ules bV
Current Units: O^O 9!:1roposed Units:1ies ot the r e
ill ",n btaln '"'v... lephon
Census Code: Does notapp!y/ou maV 0 ter (Note: tne te Tcation
u ~~\lin9 the cen ~ on Utility Notl ,
Total: I number lor the.o1r _~00_33Z-Z344).
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t4 Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 01-00845-01
Paid On Receipt#
Mechanical
08/07/2001 6370
08/07/2001 6370
08/07/2001 6370
08/07/2001 6370
08/07/2001 6370
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Page 2 of 2
Value/Quantity Fee Amount
I
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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
~equested at the pro~itime and that the project address is readable from the street.
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Signature 0
<R\\ojnl
Date