HomeMy WebLinkAboutPermit Mechanical 2002-1-22
I Job# 02-00080-01 I
Page 1 of 2
TRANS#:Ol-0007843
DATE:JAN 22 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00080-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 6988 Bluebelle Way Spr
Assessors Map#: 17023533
lot: Block: Addition:
Tax lot #: 04603
Subdivision:
Owner:
Address:
Barbara Fergason
6988 Bluebelle Way
Phone Number:
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Scope Of Work: Mechanical
Replace water heater and install gas fireplace
Contractor Type
Mechanical Contr
Contractor Registration #
Home Comfort Heating & Air Conditioning 84164
Po Box 24205, Eugene, OR 97402
Expiration Date
6/25/2003
Phone
541-345-2838
Office Use
land Use: # Of Buildings:
Zoning Code: OC~9l>Gf.0UP:
Bedrooms: JTENT\ON:oregon 'a:Jl~t%,grdS\mty
Range: fP\\\OW rules adopted by fU\5!Q~t tort,\")
o . [,1&f "T'hns - -"''l. fin 1-
"E' ication v~. . - through Uf\" ;;J....... - ,
To request an inspection call the 24 hour recording at 726;- ~~~~&f6t9 q8~~~ ~o~ef:O'O
a.m. ~i11 be made the same working day, inspections requ~ .~j 7.~ra1i} {i~lJ31 Idle:rn~rotM.tf&lfPWing
working day. J a\\ing tnl'> carnol,'(' ,\.)..1';1" NotiticatlOr
C , i\--.OIOgOl' II"'!... .,\
. ..'L."I'.l.h(:., fu, .. ,I;;: , .' ..."'; .J. ,4"11'
ReqUired Insp~llotis ',. ., ,"
ll'9.\\,;;,,~ . -'
I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Mechanical
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:
N01'CE~ LEXP\REIFTHEWORK
# Of Stories: THIS P~'S~~ERTHIS PERMIT ISNOT
Current Units: AUTHcm.1,~~g~ANDONED FOR
Census Code: Does not ~EN PE'RIOD.
ANY 180 DAY
Total:
..
Job# 02-00080-01
Page 2 of 2
Fee
Paid On Receipt#
I " Mechanical
01/22/2002 7843
01/22/2002 7843
01/22/2002 7843
01/22/2002 7843
01/22/2002 7843
01/22/2002 7843
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Gas Fireplace
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$4.00
$32.00
$3.60
$9.00
$10.00
$3.15
$61.75
$61.75
1
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
SignM6re V
/-Z2-C/~
Date