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HomeMy WebLinkAboutPermit Mechanical 2001-1-4 .' ,.:l I Job# 01-00012-01 Page 1 of 2 TRANS#:01-0004168 DATE:JAN 04 2001 AMT RECD:2 $ 26.50 CHANGE: CASHIER:061 _"f~j.lh'f~:I:rd RESIDENTIAL PERMIT City Of Springfield Community SerVices Division Building Safety Job Number: 01-00012-01 , 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 339 Blackstone St Spr Assessors Map#: 17032334 Lot: Block: Addition: Tax Lot #: 08500 Subdivision: Owner: Stauney Adamson 339 Blackstone St Phone Number: 541-747-5677 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Mechanical install gas furnace Contractor Type. Mechanical. Contr Contractor Home Comfort Heating & Air Condit* Po Box 24205, Eugene, OR 97402 Registration # 84164 Expiration Date 6/25/01 Phone 541-345-2838 Office Use Land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat S, ou~ce:you to .1'0 00"'0 I?w"eal!lit:l~. Water Heater: Range: AiTENTIO!\l. 1""'::.1" 'Sq..fqot~ge:, Utility . -'__~"rl """ ~"p.dre!'o!UI . fOllOW fUll::'::> Cl.\NI""Th-' P. rules are set 10m' To request an inspection call the 24 hour recording at 726-3j~\6~ifibJltiraspe8ti8f.i's'r~q'd~stelaII:>YAO~8J~@0j01- a.m. will be made the same working day, inspections requesteCi:hafteg"b:.ID(j)J~tlm,)QVilll trJWlMe\.the,folloy'v;jr:t~)\1 . III vrU . bt' Copies 01 [I.e I UI~~ J working day. 0090. You may 0 al~ ." t lephone R . d I ..n~\Iingthecenter. ~Not~..~~e ..~_~:~:...~til'\n equlre nspev1.lons 'f "the uregulI U(IIILJ ..~...-- . ;;U~'lbel:j O. n) ","") 1'"J'::'!44) Mechamcal I~enteris "1-8u' -v':;:!.,-~'-' . Quad Area: # Of Units: Constr. Type: Rough Mechanical Final Mechanical - Prior to cover. - When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: NOTICFFf~i9..ht(fee!);"PIRE IF THE WORK 'T' HIS PEA~ati ~HALL L..^ . Current Units: - ',' ," ,~r<mosed.g~its" PERMITlSNOT Census Code: Does I'1IA~t)lI~'pr9'IZEOUNDI::. ~~ONEDFOR ,.m CQMM!NCEO OR IS ~ Total: ~N\f'~t\O DAY PERIOD. .' Fee Job# 01-00012-01 Paid On Receipt# Mechanical 01/04/2001 4168 01/04/2001 4168 01/04/2001 4168 01/04/2001 4168 01/04/2001 4168 Page 2 .of 2 Value/Quantity FeeiAmount Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanic~llssuance State Surcharge - Mechanical Total Mechanical 1 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 $26.50 Grand Total By signature, I state and agree that I have carefully examined the completed application and .do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and thaUhe-project-add(e~$_is readable from the street. ' /(/~~~~~- -"'-. ~ Signatur. - ZI C/ '-'. . /- ty-dl/ Date 13 . @ \ \ 1 () ~J.. ..........,....J"., -.- [' t ,..,..',' ...........',...... i \\ , ~r,,:y}.;~', ...," ~', ',t., ' %.. , / I \ \ + \ \ m i i I \ \ 1 i , , ! ~ ~:-;---= .. i -::::..-- \ G ---- \ - \ . . I,',J",' '" , "" H R @ . . SL Blvl, co N ~ (i) en' (f,' n ~~ PACIFIC ~t',( __ ----.._.~..:.....~.. 29 @ oap REPROGRAPHICS