HomeMy WebLinkAboutPermit Mechanical 2001-4-24
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I Job# 01-00406-01 I
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Page 1 of2
TRANS#:01-0005035
DATE: APR 24 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00406-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 461 Riverview Blvd Spr
Assessors Map#: 17033414
Lot: Block: Addition:
Tax Lot #: 03500
Subdivision:
Owner:
Donald Adkins
476 W D Street
Phone Number: 541-747-7406
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
James Heating
115 Lawrence St, EUgene, OR 97401
Registration # Expiration Date
Phone
Office Use -
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: IAln"i"Iir.E: Sq. Footage:
, . , ,::.:'....""onnlTc,I.l/I.Ii.EXPIREIF1Hl:VVUn'"
To request an Inspeclion call the 24 hour recording at 726-3769, All inSpections req(Jestec!.liefo~e.?-:OOIl1iITISNOT
a.m, will be made the same working day, inspections requested after 7;Q.9'~'f!!~w.iII:tie.made"'ti\~follow'fng
working day. COMMENCED OR IS ABANDONEU FOR
Required Inspections fll~T 'ou ;:,;:::-:~.'"n
Mechanical I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete,
:l
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
Main: Accessory:
I \. 1:'-. ~, , 11 i':~y
f,~\I." ., .'( " ::,
f\!V'H' "e' ','g'h"t"(f'eet)", ',' r,'", ).\,c, ~1~'I},}j-
# Of Stories: 'In U " ,,'..,.. II I ' ' ,
1""" . ~,.. ...... . ~..~ r," i't!"\~ by
Current Units: OL[PJ.op,?sed-Units: 'f
'. ~,,':!JiJf:UIl3
Census Code: Does not apply (;~'::, .'" ',,,
, . ," J,;;iCJtion
nU.IIL1..JL' ...t. '. ' '.,r'~)
Total: Czn~\..i,~ t-.........h.......---........ .
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Job# 01-00406-01
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Page 2 of 2
Fee
Paid On Receipt#
Mechanical
04/24/2001 5035
04/24/2001 5035
04/24/2001 5035
04/24/2001 5035
04/24/2001 5035
Value/Quantity
Fee Amount
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.
~~ 4~24~eJl
~~re ~
1
$9,00
$.45
$6,00
$10,00
$1,05
$26.50
$26.50