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HomeMy WebLinkAboutPermit Mechanical 2001-2-14 (3) Job#01-00129-01 Page 1 of 2 SPRINGFIELD TRC1 ANS#:01-0004448 9111111L CITY OF SPRINGFIELD, OREGON DATE:FEB 14 2001 ,��yy AMT RECD:2 $ 53.00 Ti17� 2 $ 26.50 RESIDENTIAL PERMIT CHANGE: CASHIER:059 City Of Springfield Community Services Division Job Number: 01-00129-01 Building Safety 225 North Fifth Street Office: 726-3759 Springfield, OR 97477 Inspection Line: 726-3769 V Location Of Proposed Site: 6769 Bluebell Ct Spr SCANNED Assessors Map#: 17023444 Tax Lot#: 00806 Lot: Block: Addition: Subdivision: Owner: Mike and Michelle Campbell Phone Number: - - Address: 6769 Bluebell Ct City/State/Zip: Springfield, OR 97478 Scope Of Work: Mechanical Alteration ' '+1, v, Value: $0 Heat pump f,rat,i,r r,,.1 1 n r. .6 • ,(,.NO. yeUfiav�u070dlr%%,gnaA calnn .. • t3in cow n. fr Contractor Type Contractor Registration#6 CExpiratidli Sate0/ ^ Phone Mechanical Contr Comfort Flow Heating Co 460 ��r "' `'6/27/2001 t �j� 541-726-0100 1951 Don St Ste D, Springfield, OR ' 97477-1993 Office Use Quad Area: Land Use: #Of Buildings: #Of Units: Zoning Code: - Occupancy Group: Constr.Type: Bedrooms: Heat Source: Water Heater: Range: 1T'SHALL Exp/RFSq. Footage: urJUER THI'r orn. quest._ To request an inspection call the 24 hour recording at 726-3769.:'All inspect ions'requestedi`before 7:00 a.m. will be made the same working day, inspections requested after 7:00aim?will:be`made.ttie following working day. r'ER100. r" Required Inspections Mechanical Final Mechanical -When all mechanical work is complete. Construction Types: Occupancy Groups: #Of Buildings: #Of Stories: Height(feet): #Of Bedrooms: Current Units: Proposed Units: Handicap Access? Census Code:Does not apply Area (Sq. Feet) Main: Accessory: Total: Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit 02/14/2001 4448 $9.00 • ` • Job#01-00129-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Administrative Fee-Mechanical 02/14/2001 4448 $.45 3hp-- 100,000 BTU 02/14/2001 4448 1 $6.00 Mechanical Issuance 02/14/2001 4448 $10.00 State Surcharge-Mechanical 02/14/2001 4448 $1.05 Total Mechanical $26.50 Grand Total $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 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. Signature Date • •