HomeMy WebLinkAboutPermit Mechanical 2001-7-25
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Job# 01-00784-01 I,
Page 1 of 2
TRANS#:Ol-0006244
DATE:JUL 25 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
SPRINGFIELD
-wiL *'
RESID,ENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00784-01
225 North Fifth Street
Springfield, OR 97477
Office: 7-26-3759
Inspection Line: 726-3769
Location Of proposed Site: 433 Cambridge St Spr
Assessors Map#: 17032334
Lot: Block: Addition:
Tax Lot #: 02600
Subdivision:
Owner:
Roy Ledford
433 Cambridge Street
Phone Number: 541-741-7407
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Install heat pump
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co,
1951 Don Street, Springfield" OR
97477-1993
Registration #
460
Expiration Date
6/27/2003
Phone
541-726-0100
Office Use
Quad Area: Land Use: # Of Buildings:
#Of Units:' Zoning Code: NOr'CE: Occupancy Group:
Constr. Type: Bedrooms: THIS P~:F;f\!i1T SHALlHear~Gu~fceHE WORI<
Water Heater: Range: AUTHORIZED UNDE~cr,:~~eqti!~j~~IT IS NOT
, . . " . COMMENCED OR IS ABANnONED r::m?
To request an Inspection call the 24 hour recordmg at 726-3769. All mSRectlons reguesteol)ef6re TOO
a.m. will be made the same working day, inspections requestedtl~it'e~il';b~)laYmr:l0lII::-t:>e made the following
working day.
Required Inspections
Mechanical
, Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
- Prior to cover.
-When all, mechanical work is comPlete;~:ITEi\lTION'Oregon I .
, ' ., .aw reqUires you to
fo!,?w ~ules adopted by the Oregon Utility
NotifIcation Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the ruies by
# Of Stories: calling W9iciW~f~.e't~)!ote: the telephone
number lOr l~,e Greoon Utility N tT t'
Current Units: CRr,op'osed'Ul1its: 0 Ilca Ion
8.l'C;I 1<:> ,-8uu-~.j2-2344)
Census Code: Does not apply . ,
Accessory:
Total:
."
Job# 01-00784.01
Paid On Receipt#
Mechanical
07/25/2001 6244
07/25/2001 6244
07/25/2001 6244
07/25/2001 6244
07/25/2001 6244
Page 2 of 2
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Fee'
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$9.00
$.45
$6.00
$10,00
$1.05
$26.50
$26.50
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
performe,d shall be done in accordance with tMOrdinances of the City of Springfield and the Laws of
the teof Oregon. I further state that only contractors and employees who are in compliance with
ORS 01.055 wilVtJr used on this project. I further agree to ensure that all required inspections are
reqflue d at th1~:Jrq~z;;;;Qtime and th t the project address is readable from the street.
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Signature
1!J6/0!
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Date