Loading...
HomeMy WebLinkAboutPermit Mechanical 2001-6-21 , . / ~ I I Job# 01-00634-01 I .--' . Page 1 of 2 TRANS#:01-0005901 OATE:JUN 21 2001 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR 97477 Location Of Proposed Site: 7273 Elderberry St Spr Assessors Map#: 18020221 Lot: Block: Addition: Job Number: 01-00634-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 00800 Subdivision: Owner: Janella Gallagher 7273 Elderberry St Phone Number: 541-747-2891 City/State/Zip: Springfield, OR 97478 New Value: $0 Address: Scope Of Work: Mechanical Heat pump Contractor Type Mechanical Contr Contractor Comfort Flow Heating 1951 Don Street, Springfield, OR 97477 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: Registration # Expiration Date Phone 460 6/1/2003 541-726-0100 A.,.-,.C'f\ITlf"\\l-:""\r",nn" I~w rnriIJires vou to :v::.:.w rules &do;>ted bt the Oregon Ulility Notification Center Thrl"3 !ul.;,s aie set forth in OAR S52_001_0v~Brr.~vuJL~!~g~.:1952-001- 0090. You may oba!1!l!!p~.'!t;Y.l9!.0.uP:18S by calling the centLt!~~lcSource.:ele~ho~3 number for the CS.q:tF.ootllgce.:~~~tflca\lOn venU::lf I~ I-OVV-\.J....,r;,.-~..."'T.....J. 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 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 complefe.OTICE: ~~IS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BO~:I~r\'M:l~8: Proposed Units: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Total: v - Fee Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total . Job# 01-00634-01 Paid On Receipt# Mechanical 06/21/2001 5901 06/21/2001 5901 06/21/2001 5901 06/21/2001 5901 06/21/2001 5901 . Page 2 of2 Value/Quantity I Fee Amount 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 performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Ore . I further state that only contractors and employees who are in compliance with ORS 701.055 w'l e used on thi roject. I further agree to ensure that all required inspections are requested at th p er time an th t the project a2.]s is readable from the street. Signature /;;/2I( 0/ "t' ' , Date