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HomeMy WebLinkAboutPermit Mechanical 2002-6-13 r . I Job# 02-00706-01 I ~ . v Page 1 of 2 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Phone NrMllf4CE~41-746-5285 . PE~tT. SJ;L~1-L~~m~ IF THE WORK c,ty/Stati~~HORI1~\fa\lJiJl:R1),~S~ERMIT IS NOT New COMMENCED~15 A~ANDONED FOR ANY 180 DAY PERIOD. 225 Fifth Street Springfield, OR 97477 Location Of Proposed Site: 722 Janus St Spr Assessors Map#: 17033412 Lot: Block: Addition: Owner: Bruce Drury 722 Janus Street Address: Scope Of Work: Mechanical Contractor Type Mechanical Contr Contractor Comfort Flow Heating Co 1951 Don Street, Springfield, OR 97477 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: Job Number: 02-00706-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 01800 Subdivision: Registration # 00460 Expiration Date 6/27/2003 Phone 541-726-0100 '! j l':'I.1 .' .~ .: J 1...~..;li;:l~' Ju.,;.0 1"i1U'f1 rult:3l:ldopled oy the oregon Utlll(Y ;~otlflcatlon Centel. Those rules are set forth In OAR 952-001#.:.q~ ~!!"c:!L'l9S;)AR 952-001- :J090. You mayOccupan~y:Grciup:) rules by calling the cEHeat Soufce:le telephone ~lumber for th'Slr.rFoota'ge:'ty Notification .... _ ~ _ "" . ....^n ........i"\ "',.,11 A\ , "t' 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 I Mechanical I -After line is installed and capped if not attached to an appliance. - Prior to cover. -When all gas work is complete, -When all mechanical work is complete, Rough Gas Rough Mechanical Final Gas Final Mechanical 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: Height (feet): Proposed Units: -i 0;0 :D:D -i ::z rTleo un ("'J c.....t.. :I> ~q :r: :3: I I-i ("'J -0--.1. C) rn::c uo ;0:0:::0 0 .. :z: rrl r-.J ....0 o Ci1 C") CHJ1 o--.mcoU'1 0"'-.. .. NO" I . Fee Minimum Mechanical Permit 8% Administrative Fee - Mechanical Gas Fireplace Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total Job# 02-00706-01 Paid On Receipt# r Mechanical 06/13/2002 9556 06/13/2002 9556 06/13/2002 9556 06/13/2002 9556 06/13/2002 9556 . Page 2 of 2 Value/Quantity Fee Amount I 1 $36,00 $3,60 $9,00 $10.00 $3.15 $61.75 $61.75 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 1 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 proJer ~e and that the project address is readable from the street. Y:f( /J4 /Signature/ ~ b lJ-of- Date