HomeMy WebLinkAboutPermit Mechanical 2000-1-10
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Job# 00-00028-01
Page 1 of2
TRANS#:01-0000200
DATE:JAN 10 2000
AMT RECD:1 $ 26.50
CHANGE:
CASHIER: 042
RESIDENTIAL PERMIT
City Of Springfield
Community Services DIvIsion
BUilding Safety
Job Number 00-00028-01
225 North Fifth Street
Spnngfleld. OR 97477
Office 726-3759
Inspection Line 726-3769
Location Of Proposed Site 2158 Centennial Blvd SPR
Assessors Map# 17032543
Lot Block Addition
Tax Lot # 03700
SubdivIsion
Owner Michele DaVIS
Address 2158 Centennial Blvd
Scope Of Work Mechanical
Phone Number 541-744-8140
City/State/Zip
Addition
Spnngfleld. OR 97477
Value $0 00
Add heat pump system
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D. Spnngfleld, OR
97477-1993
Registration # Expiration Date
460 6/271lOe9
Phone
541-726-0100
Quad Area
# Of Units'
Constr Type
Water Heater
Office Use
Land Use
Zoning Code
Bedrooms
Range
# Of BUildings
Occupancy Group
Heat Source
Sq Footage
To request an inspection call the 24 hour recording at 726-3769 All inspections requested before 7 00
a m will be made the same working day, Inspections I"equested after 700 a m will be made the following
working day
ReqUIred Inspections
Mechanical
Rough Mechanical - Pnor to cover
Final Mechanical -When all mechanical work IS complete
ConstructIOn Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? D
iArea (Sq Feet)
I Main Accessory
# Of Stones
Current Units
Census Code Does not apply
Height (feet)
Proposed Units
Total
Fee
Job# 00-00028-01 I
Paid On Recelpt#
Mechanical
Page 2 of 2
Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
AppllanceVent (Not Covered In Schedul
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
01/10/2000
000
1
$1050
$ 45
$450
$1000
$105
$26 50
$26 50
Grand Total
By signature. I state and agree that I have carefully examined the completed application and do
hereby certify that all Infol"matlon herein IS true and correct. and I furthel" certify that any and all wOl"k
performed shall be done In accordance with the Ordinances of the City of Spnngfleld and the laws of
the at of Oregon I further state that only contractors and employees who are In compliance with
o 7 055 W I be used on this project I further agree to ensure that all reqUired Inspections are
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Date