HomeMy WebLinkAboutPermit Mechanical 2001-10-9 (2)
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Job# 01-01111-01
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Page 1 of2
TRANS#:01-0006943
DATE:OCT 09 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01111-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2411 Dumas Dr Spr
Assessors Map#: 17032344
Lot: Block: Addition:
Tax Lot #: 00109
Subdivision:
Owner:
Joann Keefauver
Phone Number: 541-726-0878
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
2411 Dumas Dr
Scope Of Work: Mechanical
Replace gas furnace
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Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
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xplra IOJ;l'i. a ~ ~ ~ \" one
8/31/~Q02v o<:.Q.'i.'~ ,\551-683-2590
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,\., ~"" ~ ..~,#Of Buildings:
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',~ ..,' " ccupancy roup:
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..../ o.~, Heat Source:
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Sq, Footage:
Contractor Type
Mechanical Contr
Contractor Registration #
Associated Heating & Air Conditioning Inc 106275
Po Box 412, Eugene, OR 97440
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq, Feet)
_ MaIO: Accessory:
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# Of Stories:, ",...;.. Height(feet); .
Current Units: '. . Propos~d Units:
Census Code: Does not a~ply " .'
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Total:-~1
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Job# 01-01111-01
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Page 2 of2
Fee
Paid On Receipt#
r-- Mechanical
10/09/2001 6943
10/09/2001 6943
10/09/2001 6943
10/09/2001 6943
10/09/2001 6943
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
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 used on this pro'ect. I further agree to ensure that all required inspections are
requeste at the p.r~ and lha he project address is readable from the street.
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. "II - . .
Date
1
$4.00
$41.00
$3.60
$10.00
$3.15
$61.75
$61.75