HomeMy WebLinkAboutPermit Mechanical 2001-9-21
)
,
.
I Job# 01-01034-01 I
.
Page 1 of 2
TRANS#:01-0006766
DATE:SEP 21 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01034-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 29 Kremont Ave Spr
Assessors Map#: 18030233
Lot: Block: Addition:
Tax Lot #: 03600
Subdivision:
~
Owner:
Norma Brady
29 Kremont Ave
Phone Number: 541-726-8050
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Install heat pump
Contractor Type
Mechanical Contr
Registration # Expiration Date Phone
ou5<l1-726-0100
,\\10"''1 u\\\\\'l !I\
.' ,eC\ _"of>. ,. \01"
'{\'t.-- eU'--~e';l- O\J'
.OIt'.~O~\:;'l\\' u\2",'CJ'ar!F:.'1.: s'O'l
O~, ~"" ,,\ ,....\10.'<. IU\'Z
Quad Area: Land Use: <o..\~~ r-oo? #\ClfJBuil!lings:;\e or-e
.Ay\v\es.... e( ......(0\,;::.1 ~"\" ot'\'f\ ~
# Of Units: Zoning Code: 1"\ . ,:.I IU\ ce'f;l~ Occupancy Groifp:. ce.'i>O
Constr, Type: Bedrooms: ,o\\~ ",\\o'f;l "O,\.t'H~at\S~~rc'.te .~o\\'\
'~\c~ ~?:v "v- '~~'. ....,,\'l_..l,'\,
Water Heater: Range: ~~~\>o~ ~^U ('f;Ie.'l..~9~F.?,,~!Il!.~]..'t~'
'" ~\). - WQ eV' 9,O\J--
To request an inspection call the 24 hour recording at 726-3769. AIIG~sp"e'Ciib<i!,.'re~E1st~a'before 7:00
a.m. will be made the same working day, inspections requested after 7:qQ.la~'m~ vtillltiE1 made the following
working day.
Contractor
Comfort Flow
1951 Don Street, Springfield, OR 97477
Office Use
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
Required Inspections
I Mechanical I /r.'I-
- Prior to cover. f \~~ 'I'l0 i\
- When all mechanical work is complete. C'(.', \. ~,/,:i'\/r.'i:.. \ l-lI\\ \'0 ~O
\,\O~~ NI\\ S~[>.I,; \~\S 1''i:..T'' fO?-
_.~\'O 1''i:..T'' 'e.\l \J~\l~'" [>.~\lO~f;.\l
\ '!j\~0"'\T. DO'" \'0 [>.~
l>I .,.,<::~C'2 ~a\OI).
CO"''''~ _.'{ I'c'"
# Of Stories: H,eight,(feet):
Current Units: [>.\"proposed Units:
Census Code: Does not apply
Rough Mechanical
Final Mechanical
Total:
,J
.
Job# 01-01034-01
.
Page 2 of2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
r Mechanical
09/21/2001 6766
09/21/2001 6766
09/21/2001 6766
09/21/2001 6766
09/21/2001 6766
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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 ego,p. I fu er state that only contractors and employees who are in compliance with
ORS 701. 5 wil}ie us, n lt~~roject. I further agree to ensure that all required inspections are /
requested t h :p, . e ai hat the project address is readable from the street. ~ 1'5/ /0 (
Signatur DAte I