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HomeMy WebLinkAboutPermit Mechanical 2001-10-1 ,f Job# 01-0107_2_-01 Page 1 of 2 TRANS# ~ 01,-0006860 DATE:OCT 01 200i AMT RECD:2 $ 61~75 CHANGE: CASHIER~061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01072-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 5236 Forsythia St Spr Assessors Map#: 18020421 lot: Block: Addition: Tax lot #: '02400 Subdivision: Owner: Cheryl Meyer 5236 Forsythia Street Phone Number: 541-988-3316 City/State/Zip: Springfield, OR 97478 New Value: $0 Address: Scope Of Work: Mechanical Heat pump with air handler Contractor Type Mechanical Contr Contractor, Home Comfort Heating 706 Oscar Street, Eugene, OR 97402 Registration # 84164 Expiration Date 6/1/2003 Phone 541-345-2838 Office Use O<0*- land Use: ~ ~~ ~\.O"\. # Of Build, i,ngs: ,\\);.v S \.~ Zoning Code: Q,.,Y" 1< ~0\ 0<<-- Occupancy Group: Bedrooms: 'f$~ {-v<<?- <:~ <( Heat Source: Range: .;:y <(;, .A:X~~ O~v Sq. Footage: ,'~ ...... '\ -,'" , :'}V. (;~, ~' ~~ To request an inspection call the 24 hour refQr~~~g<ftf~26~'~9.~I?inspections requested before 7:00 , a.m. will be made the same working day, j'q~p'e~tiCi>Rs ~&t\iestga'1~1)7:00 a.m, will be made the~fbllowing working day, '<-..:<~P ~O~ J'..JY,,() ~y"<($ s ~o~~~'\ ~~ ..\:>"" ....{f.>~ ~~ . _,~e ~(\~ t:>'\O_",v Reql:J,I,red Inspections (,,'<1-' .0~ 0"" IV~ '0-' C;U ,\Q.,'J ~, 0" 'If- oJ:)'" s, I ~~chanical I o(o..\'li- _'S'0 ,s0? ~<?- 0(",s0 ~0 -Prior to cover. 0.,0<:$ 0'0'\ g,e" rI'0 ~~ 0~'(;-0 ~O~ - When all mechanical work is complete, O~. ~o~,e ~:S..O ~("O~ '~0? Oe'~ ~\V , ~\ 0':> 0'\' \)~ o~ ~ ~o ~<V~\'0\,0? V0~~,\)\)~~f\\ ~~o,e~~~ f't,f'bb.~' , , ~ &.O~ ~o~ r:z:r::p ~ 0'0 0(,,'~ o~ ;of'b'l: \0 .~\(1). oJo ~1). 0~~ 0"\,0<:$ r.:JY ~O~O'i?-<?- .J..O~ ",0V,\\,0 'G ,f(3 .~ r-.OjOi...J' ...-!\<0h t"o.(f~ "t"')\ ,,0 O'J ~elg,<; ee. vAV (;'<)' Current Units: ~~oposed Units: Census Code: Does not apply Quad Area: # Of Units: Consti'. Type: Water Heater: Rough Mechanical Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: # Of Stories: Accessory: Total: (' Fee Job# 01-01072-01 Paid On Receipt# Mechanical 10/01/2001 6860 10/01/2001 6860 10/01/2001 6860. 10/01/2001 6860 10/01/2001 6860 10/01/2001 6860. Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU 10,000 Cubic Feet or Less Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total Page 2 of 2 Value/Quantity Fee Amount 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/he proper~m~and H~e- ~aUd.::)s readable from the street. Signature / . /0-/-0/ Date