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HomeMy WebLinkAboutPermit Mechanical 2001-1-4 (2) \ . . ~ I Job# 01-00016-01 I . Page 1 of 2 TRANS#:01-0004178 DATE:JAN 04 2001 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00016-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4531 Franklin Blvd Spr Assessors Map#: 17033444 Lot: Block: Addition: Tax Lot #: 01711 Subdivision: Owner: Shirley Thomas 4531 Franklin Blvd sp# 100 Phone Number: 541- - City/State/Zip: Eugene, OR 97403 Alteration Value: $0 Address: Scope Of Work: Mechanical Electric Furnace Contractor Type Mechanical Contr Contractor James Heating 115 Lawrence St, Eugene, OR 97401 Registration # Expiration Date Phone Off'c U .......................r'>';'.oet':; I e sa r'-!C"...........,':;~.....lG ~.~..I' n~" ATIEI'tP ...,;...... .,~~. ,,.\~f"lr.'...!,T. ': Quad Area: Land Use: f II '" -ll\e~ '1001)\3,." 1'1 # Of BUJldll}gs: . 0 Oy~ 1 " . r. ' IIOc.. ..11 c. .,..... . # Of Units: Zonmg CodeN' \',ficaliOr ~8r:lc" ,n..", Occupancy,Group: o . . U. l1ro"!'\t"lf )..,,,", '1:/(". v Constr. Type: Bedrooms: in OAP, \J52-001-U I ~ l ~n..,lj~at,~?,ur(;\l':". Water Heater: Range: 0090. You ,118" 'JtMlr.~.:, Sq'1~02,~$le;l._ ca\lll!~ .1Ie; .........;..- _ . ,_ ... :;("j:;;'~' To request an inspection call the 24 hour recording at 726-,~Z;~.9.:l..AII;inspections-request.ed 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 I Mechanical -When all mechanical work is complete. Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: Fee Minimum Mechanical Permit NOTICE: WORK THIS PERMIT SHALL EXPIRE IF THE OT ~IITHORIZEDUNDERTHISPER~~IS~ # Of Stories:D OR IS ABANDOHeiglitl(feet): ~DI\I\IVIt:I~",r; Current Units:PER10D Proposed Units: ~I\IV 11ln u/;y , Census Code: Does not apply Total: ~ Paid On Receipt# Mechanical 01/04/2001 4178 Value/Quantity Fee Amount $9.00 ,./ . . Job# 01-00016-01 . Page 2 of 2 Value/Quantity Fee Amount Fee Paid On Receipt# Mechanical 01/04/2001 4178 01/04/2001 4178 01/04/2001 4178 01/04/2001 4178 1 $.45 $6.00 $10.00 $1.05 $26.50 $26.50 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. '-~~~ Signature - ~ 04- zoe> I Date