HomeMy WebLinkAboutPermit Mechanical 2001-6-29
Job# 01-00670~01
Page 1 of 2
TRANS#:Ol-0006027
DATE:JUN 29 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00670-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1426 Centennial Blvd Spr
Assessors Map#: 17032533
Lot: Block: Addition:
Tax Lot #: 08000
Subdivision:
Owner:
Address:
Letha Pool
1426 Centennial Blvd
Phone Number: 541-746-9403
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
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
Quad Area: .
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
r\~OT~CE: # Of Buildings:
THIS PEFnV1iT S~~<lfi-oo~ WORK
AUTHORIZED UrfrtJ!!~~lERMIT IS NOT
COMMENCED o~9sfJffi>A~%t)NED FOR
To request an inspection call the 24 hour recording at 726-3769. AI~fr{~~Jillig~~r~&&~Q&d before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is cO~p'I~~NTION:Oregon law requires you to
follow rules 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 rules by
calling the cel]t~r. (Note: the telephone
# Of Stories: number for tht't:J~~tc.~~ecr~~ity Notification
Current Units: Cente-. ~1.rop'ose.d~LlnitsJ.4)
.... . vvv "''-'... '-_, .
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Accessory:
Total:
,
Job# 01-00670;01 I
Paid On Receipt#
Mechanical
06/29/2001 6027
06/29/2001 6027
06/29/2001 6027
06/29/2001 6027
06/29/2001 6027
Page 2 of 2
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
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.
a~ ~A>P' J);t Q/? b I L 1 /0)
Signatu~ Date
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50