HomeMy WebLinkAboutPermit Mechanical 2002-6-13
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I Job# 02-00703-01 I
Page 1 of2
TRANS#:01-0009547
DATE:JUN 13 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00703-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5751 Ridge Ct
Assessors Map#: 18020411
Lot: Block:
Owner:
Nelson Wilson
Address: 5751 Ridge Court
Scope Of Work: Mechanical
Spr
....'--e. Tax LoU: 07200
... 'c;l\"'"
Addi~i9.?:,,',;;?~":"'" ,=~Su,~~livision:
I 'JUflTIf"gtin.... _ -"'Vj.Jteo {II, fh
'0 oAhhone Number:'h 541-747"1(735, .
'0 !:J52-0orro-';;' oSe rUlflS ~-;.~ ,.'
J 90Cityll?~te/Zfp: ,0 thSpr1~g!!,el~,f'OR 97478
cal/inCl th Y abeam co' M" 95"_ .
11.~7'1r I e center. (No/,esvalue: "u,~9 ,
u r lor the a'e e, the 'eleph ."
C . gOn Ut'I' one
Antc,;" 1 ? "IYiI!o',"',
-. ""_'1'1") t"'\ t I1eal/c'
~..."l_1A\
Installing new Bryant Heat Pump,
Contractor Type
Mechanical Contr
Contractor
MarshaUs Inc
4110 Olympic St, Springfield, OR
97478-5620
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: !\!(lJV~C~' Heat Source:
Water Heater: Range: T"I" ....c.n Sq. Footage:
~n "..... R',!, ~H.'~l EKr:lfii: 'I' I H~OR
To request an inspection call the 24 hour recording at 726-37 U~~~~<M~~_ Jitfp.reW K
a.m, will be made the same working day, inspections request qJMrl~lOllra:ln)~il8Je mfllJljmftla'(pu rfIIOT
working day, . ANY 180 DAY PERIOD: 1'1
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. Feet)
I Main: Accessory:
Fee
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
3hp - - 100,000 BTU
Mechanical Issuance
Registration #
25790
Expiration Date
12/23/2002
Phone
541-747-7445
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
I Mechanical
06/13/2002 9547
06/13/2002 9547
06/13/2002 9547
06/13/2002 9547
Value/Quantity
Fee Amount
1
$33,00
$3,60
$12,00
$10,00
...
.
Fee
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 02-00703-01
Paid On Receipt#
I Mechanical
06/13/2002 9547
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Page 2 of2
Value/Quantity Fee Amount
$3,15
$61.75
$61.75
By signature. I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon, I further state that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
reque~~::; ;$e project address is readable from the street.
Signa~ I
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Daie' -