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HomeMy WebLinkAboutPermit Mechanical 2001-2-14 (2) r • Job# •01-00129-01 Page 1 of 2 SPRINGFIELD TRANS#:01-0004448 T RE D: $ 2001 11116111L b CITY OF SPRINGFIELD, OREGON AK RECD:2 $ 53.00 2 $ 26.50 CHANGE: RESIDENTIAL PERMIT 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 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 ' ,li .v. Value: $0 Heat pump 'c�.rt,r r r; nt- '6' ,n„ .. "r' ''UK Yon`vur bt through OA oaP;nr. , m. tiobtain con'.3 Contractor Type Contractor Registration•#E:Expiration1DateOf ” Phone uw ror rr- rn, r• Mechanical Contr Comfort Flow Heating Co 460 '6/27/2001 'um. ,' 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: ' ' 'ITSHALLEXPRFSq Footage- To request an inspection call the 24 hour recording at 726-3769.. st All inspections requeedibefore 7:00 a.m. will be made the same working day, inspections requested after 7:00 V.mlwill:be`made.tl a following working day. `""' I'ERIOD, ' kill 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) [Area Accessory: Total: Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit 02/14/2001 4448 $9.00 I 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 • •