HomeMy WebLinkAboutPermit Mechanical 2001-12-18 (2)
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I Job# 01-01395-01 I
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Page 1 of 2
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SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01395-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2580 Dumas Dr Spr
Assessors Map#: 17032344
Lot: Block: Addition:
Tax Lot #: 00124
Subdivision:
Owner:
Address:
Larry King
2580 Dumas Drive
Phone Number: 541-747-6828
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor Registration # Expiration Date Phone
Home Comfort Heating & Air Conditioning 84164 6/25/03 541-345-2838
Po Box 24205, Eugene, OR 97402 ATTENTiON:Oregon law requira<; you to
... . ..........
NOTICE: Office Use
QU~~~~8eRMIT SHALL EXPIRE IFTHE vl'd~ Use:
# Of ~i1Ibf: Zo~ng Code:
C 1\1lmru:l17EDUNDERTHISPERMITI~r~ I .
onSlr: ryplr. ~e rooms.
waGlilM~~EDOR IS ABANDONED F~ange:
I\I~T IOVU"" ri:OniCf;.
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.
............ .........................1'-'........ U;T ....... -....~....,....Ull'l
j':u.ification Centel'. Those rulos are set ;onh
in OAR 952-C01#'~f:ailillllilgS1AR 952-001-
0090 You may ""..,t~i,.. ""n;"~'G~fth" rules by
'uccu~ancy roup:
calling the ceW"" l(slotfli:'l-Je telephone
number for thesj'~F.'o~~n~iY Notification
Center I~ 9~88~"jlZ-23441.
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
[Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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0:;0
;0 :0 :0
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DCi1I'Jrr10
(,0 rrI C"J 1-...1.
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t--lY7 !-LO
fTl I-' CD 0
;:0 0-. r-v 0
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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.
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Signature 0------
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Job# 01-01395-01
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Fee
Paid On Receipt#
r-- Mechanical
12/18/2001 7554
12/18/2001 7554
12/18/2001 7554
12/18/2001 7554
12/18/2001 7554
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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Page 2 of 2
Value/Quantity
Fee Amount
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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Date