HomeMy WebLinkAboutPermit Mechanical 2002-2-8
Job# 02-00146-01
Page 1 of 2
TRANS#:Ol-0007990
DATE:FEB 08 2002
AMT RECD:2 $ 61.75
CHANGE:
C{iSHIER: 003
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00146-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 7143 CSt Spr
Assessors Map#: 17023531
lot: Block: Addition:
Tax lot #: 06400
Subdivision:
Owner:
Richard Salsbury
7143 C Street
Phone Number: 541-726-7056
City/State/Zip: Springfield, OR 97478
Repair Value: $0
Address:
Scope Of Work: Mechanical
Replace air handler
Contractor Type
Mechanical Contr
Contractor Registration #
Associated Heating & Air Conditioning Inc 106275
Po Box 412, Eugene, OR 97440
Expiration Date
8/31/2002
Phone
541-683-2590
Office Use
land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
. 'o.w leq;Jiies ~Ol) l'J
To request an inspection call the 24 hour recording at 726-3769. All inspections reR~~sted bef0rE;rr.~'~f~'~ the Oregon Uti'liW .
a.m. .will be made th'e same working day, inspections requested after 7:00 a.m. WiltBI~..:ma.de3tt1~ct~IR\~se rules are set iGi'~h
working day. Notification Center. T hOAR 952-00,-
o . :,:. ()AR 952-001-001 ~ thr~~~... "f thp. rules by
ReqUired Inspections '90 You may QUla11l ""....t'L - h ne
00 . (Note' the telep 0
Mechanical calling the center. on Utility Notification
- Prior to cover. numberCfOernttheer ;~~~,}O-332-2344).
-When all mechanical work is complete. '
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHEWORK
Heig"'tJ~IZED UNDER THIS PERMIT ISNOT
ProlOOmMtl.Nt~D OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Total:
<I-
Fee
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 02-00146-01
Paid On Receipt#
Mechanical
02/08/2002 7990
02/08/2002 7990
02/08/2002 7990
02/08/2002 7990
02/08/2002 7990
Page 2 of 2
Value/Quantity Fee Amount
1
$37.00
$3.60
$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
re~ested at the properct!~e ~ni t at the project address is readable from the street.
~ \\)~ \J-.XU _
Signature
ri -3-0~
Date