HomeMy WebLinkAboutPermit Mechanical 2002-5-22
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. I Job# 02-00604-01 I
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~ SPRINGFIELD I
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Page 1 of 2
TRANS#:01-0009199
DATE:MAY 22 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00604-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5335 Main St
Assessors Map#: 17023300
Lot: Block:
Spr
Addition:
Tax Lot #: 01300
Subdivision:
Owner:
Santiago Estates
Phone Number: 541-747-4919
Address:
5335 Main St
City/State/Zip: Springfield, OR 97478
Value: $0
~f;J~\
Replace heat pump and air handler , ...~~ ,C,. ~f;J
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Contractor ~1I~~<e:'tlOW< Expiration Date
Associated Heating & Air Conditioning ~b.. ~o..~~5Qf;J~ 8/31/2002
Po Box 412, Eugene, OR 974110 '" S~ C'\~'(-. ....<Q~
r~.: ~\, ...~v.c- r' __;')
~ ,\v. '_2-."'.,.<:'. v ~ ,- ('\\)' 0" .~
~~ S qTtl&.\.'US~ ~ ~~,. <1"'1 \).;~\O?:-~
L ''d~U''lo<;)~ ~,,~ ~ ~ v,->'\ #'5f B"'ld""- ,
a",._",;~~.,}~ ~~ .,,<J O\e"~\~ _~~ I~!!l\'
Zonmg,~lI"\=O~ ,.1> '$'0 ~\:.Occ~pa~cY'Group:
Bedro~-\ _0' ~o'\ ~0 \\) ,He~~So~rce'~ 0'"
h...'\ )'..0 O-;-J ,\0'" 0.... ',(";\)' ^~
Water Heater: Range: T' .. o~' '\~ ,o";Sq, Footage:'
^-~ _1. _\~ r.\'Q ._c;>,~ ,^'\.~
.\" ef.b- ~.......... ~'\" ev' . \,. ,....~.
To request an inspection call the 24 hour recording at 726,3!~.9~~~!,'i~~p'e<tti9~:f ~qU~~i~~!?(jfore 7:00
a,m, will be made the same working day, inspections requ~,s~ectaft~97:0g~.a:~!,will.;!le I)1Jlde the following
working day, ~o-$;',!?-09! ,:;, <$' 0c,0" 0\0 fCr::J:::
'.<-.0 " -to o..:s:' ,'$'0 \0 \'
Required Inspe_ctl~....i. \ ,: ^,; -
.l _l>.~ 00"
Mechanical -.,,<.\,v1
Scope Of Work: Mechanical
Alteration
Contractor Type
Mechanical Contr
~
541-683-2590
Phone
Quad Area:
# Of Units:
Constr, Type:
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Are.a (Sq, Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
'>
.
_'f
Fee
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 02-00604-01
Paid On Receipt#
Mechanical
OS/22/2002 9199
OS/22/2002 9199
OS/22/2002 9199
OS/22/2002 9199
OS/22/2002 9199
OS/22/2002 9199
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Page 2 of 2
Value/Quantity
Fee Amount
I
1
1
$25,00
$3,60
$12,00
$8,00
$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
requested at the proper time and that the project address is readable from the street.
~I;'!?r ,.. h
Signature
c:;-- '2. ]...-07
Date
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RINGFIELD OREGOW97)Pi7
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LF,Gt\L DESCRIPTION
I /023,"500
OlJ,O'O
JOB DESCRIPT,ON C\-an't\~w.
\\0 ~ f\'"" \\o.nAlp.c \' \?xh V\./I,h
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
.
Permits are non-transferable and expire
if work is no1t~tarted within 180 days
of issuance ~F;if work is suspended for
180 days. ~~
2, CONrllrOR I~STALLATION ONLY
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Electncal' .qontractoFgt(""L l J ~f:..tu,<-I (_
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Address ~~.d' (l'ji" '.)J Ot!.1.
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. ~lE!1:m
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Cl . ,,_,,(;:.~
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'" .'"
. Supervis "." ',"z;l
B. Services or Feeders
Installation, AItera
Relocation:
TOTAL