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Permit Miscellaneous 2001-11-14
. r . .. . I Job# 01-01259-01 I . Page 1 of 2 TRANS#:01-0007249 DATE:NOV 14 2001 AMT RECD:2 $ 61.75 CHANGE: CASHIER: 061 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01259-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4020 Douglas Dr Spr Assessors Map#: 18020613 Lot: Block: Addition: 1 st Tax Lot #: 01900 Subdivision:Jasper Park Owner: Address: WillUlch 4020 Douglas Dr Phone Number: 541-746-9714 City/State/Zip: Springfield, OR 97478 New Value: $0 Scope Of Work: Heating System Contractor Type Mechanical Contr ,I 0<" Contractor ~r~~ # Expiration Date Associated Heating & Air COnditiOnin~~1~rC"\~ 8/31/2002 Po Box 412, Eugene, OR 97440 ~ c..'?'? _,<-'i>~ ~\O';~, eit~~-C~\>e"'V ~O :t~dJdA-"'?'iI' (?o.~'?l 1 ~c:,..AAb'ill~~i(,~O'i>' (VN) Wood Frame ~~~ .~ \"'- To request an inspection call the 24 hour recording at 726-3769. All inspections requ!lsted before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wilFbemade the following working day. ~"G"'- ~ \)"\0<-" \'O'S. 'O~o .~\ ~'\' R . d I . ^,tl ..'\\ ."," .n.\i ..." equlre nspectlonsc \'\'0 "'V -i)J "'. .0" I\)' \)\'0 .....~ J.0 I Mechanical'."''''~o'Cl 0\ Oe- '0\ f;!o0 ,,_ '- ')"" Q," ~~ ~"o '0<' -Prior to cover.. <~"\'(~c,'l>OO:''O\-:-''' "S'\ooJ.~t;,,0.,,'O\0~~\c,'l>\~ - When all mechanical work~ls complete: ",,\(;j c,0~. "S'J _'v" ~' ~,- V' ,vv.~ .'j' 'Icl'-.:-.'\ ~\O '!..\O<' f;:)I::J'\' 'SJ\'l>: I~.c'-. \\'1,.' ,'Y"" . \0 "c,'l> ",7; ,,0 ,.'-' f;!ov n.1' '!..~~ '!(. 9P ~'l>" <,\e Fl,Q !?,'?i" ~o O~ -{o\) 0c,3 nO\0 !O(;j(;j' \\. ,,(;j. .^(\~_.\"J .",'\' ,,(;j'" ,\\,...., J' ,( ~ \J I:,ccessoey,Structure ~\y GV' # Of Stories: <'\)'" Height (feet): Current Units: Proposed Units:1 Census Code: New SF - detached Heat pump and air handler Phone 541-683-2590 Quad Area: # Of Units: Constr. Type: Water Heater: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Dwelling Rough Mechanical Final Mechanical Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Are.a (Sq. Feet: _ Mam: Accessory: Total: " -.- . , ... ~I . Fee Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU 10,000 Cubic Feet or Less Mechanical Issuance State Surcharge - Mechanical Total Mechanical ~~J\il~QO~ Job# 01-01259-01 Paid On Receipt# Mechanical 11/14/2001 7249 11/14/2001 7249 11/14/2001 7249 11/14/2001 7249 11/14/2001 7249 11/14/2001 7249 . Page 2 of2 Value/Quantity Fee Amount I 1 1 $25.00 $3.60 $12.00 $8.00 $10.00 $3.15 $61.75 ;61.75 \\I\.~n Dat~