HomeMy WebLinkAboutPermit Mechanical 2001-3-28 (2)
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I Job# 01-00295-01 I
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TRANS#:01-0004784
DATE:MAR 28 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01.00295.01
225 North Fifth Street
Springfield, OR 97477
Office: 726.3759
Inspection Line: 726.3769
Location Of Proposed Site: 5041 Forsythia St Spr
Assessors Map#: 18020422
Lot: Block: Addition:
Tax Lot #: 02400
Subdivision:
Owner:
Address:
Brian Nobles
5041 Forsythia Street
Phone Number: 541.744.7677
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Mechanical
Installing new Electric HVAC System
Contractor Type
Electrical Contr
Contractor Registration #
Able Electric 92506
1300 Anderson Ln, Springfield, OR 97478
James Heating
115 Lawrence St, Eugene, OR 97401
Expiration Date
7/16/2003
Phone
541.726.6701
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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.
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Required Inspections
I Mechanical I
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Fe:t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
"-
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Job# 01-00295-01
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Value/Quantity Fee Amount
Fee
Paid On Receipl#
Mechanical
03/28/2001
03/28/2001
03/28/2001
03/28/2001
03/28/2001
1
$9.00
$.45
$6.00
$10,00
$1,05
$26.50
$26.50
Minimum Mechanical Permit
Administrative Fee. Mechanical
Less than 100,000 BTU
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 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
Date