HomeMy WebLinkAboutPermit Mechanical 2001-6-12
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I Job# 01-00600-01 I
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Page 1 of 2
TRANS#:01-0005784
DATE:JUN 12 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 5335
Assessors Map#: 17023300
Lot: Block:
Owner:
Gerald Santiago
5335 Main St
Address:
Scope Of Work: Mechanical
furnace and heat pump
Contractor Type
Mechanical Contr
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00600-01
Office: 726-3759
Inspection Line: 726-3769
MAIN ST
Spr
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y
Addition:
Tax Lot #: 01300
Subdivision:
Phone Number: 541- -
City/State/Zip: Springfield, OR 97478
New Value: $0
Contractor Registration #
Associated Heating & Air Conditioning Inc 106275
Po Box 412, Eugene, OR 97440
Phone
541-683-2590
Expiration Date
8/31/2002
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
,.-.--r::II- ,
Constr. Type: Bedrooms: ,.': ,<;;,. .I... Heat Source: c,:U"::s )'0";::1
Water Heater: Range: fo:,?VI ~ules 'Sq,:Footage:l O,el;on lililil\
r\1"+lfl,..~t,....... ,... .._,._.. ~'_. y
. ~..._.. . ............ 'Ult.;" Clltl! ~t:.:[ rOl1n
T "II h 24 h d' 726 3769 All '!1 OAP1,Q<;?_nnLn"t"d' ~-f" ..'7'00R 9
o request an inspection ca t e our recor Ing at - . Inspec Ions reques e ue ore, 52-001-
a.m. will be made the same working day, inspections requested after'7:bo/m'JWilfti€ma(je:the;followih9 rules by
working day. ca I1ng the center. (Note: the telephone
. . number.for the Oregon Utility Notification
Required Inspections v~"''"'' '" I-OUU-;j;j~'<:!344).
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover,
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
NOTICE=:
THIS PERh:iIT SHALL EXPIRE IF THE WORK
# Of Stories: AUTHORiZE~~i~~f-~lJiI? PERMIT IS NOT
Current Units: COMM :NGt:PR>~6~~&&'rlitQ:t..I=D FOR
Census Code: Does'ii6t:app\y'Y PERIOD,
Total:
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Job# 01-00600-01
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Page 2 of 2
Value/Quantity Fee Amount
;/i
Fee
Paid On Receipt#
Mechanical
06/12/2001 5784
06/12/2001 5784
06/12/2001 5784
06/12/2001 5784
06/12/2001 5784
1
$9.00
$.45
$6,00
$10.00
$1.05
$26.50
$26,50
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 use 0 this project. I further agree to ensure that all required inspections are
r uested atffloper t and tt the project address is readable from the street. 11/ (;:) j () (
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