Loading...
HomeMy WebLinkAboutPermit Mechanical 2000-8-28 ..;,,' ) . I Job# 00-00625-01 I . Page 1 01 2 TRANS#:01-0001402 DATE:APR 28 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER:059 SPRINGPIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield , Community Services Division Building Safety Job Number: 00-00625-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2150 Laura St Spr Assessors Map#: 17032710 Lot: Block: Addition: Tax Lot #: 00400 Subdivision: Owner: Cleta Simmons' Phone Number: Scope Of Work: Mechanical City/State/Zip: ~II ..., II::: Alter..tibij, I~, 11'011,,; IU/e.'<'-'I ^ 0,,_ 'ill/". ~"'_:' -V8,"&'(,' -"',c , V Y, :s'.?o. el1r. reo- Cq/~. OUth' V}'{l~1 1),6YI"h' . "1"06 7].9,~egistration #O~'Expiration Date 'Bft 'sr>' VOtCl..>J{f)f.~ ""- "'{'I.. '':;"c:'n J' Comlort Flow Heating Co ,,~:4~gee%, If} COt;Ul~/?7119~~ ': I.It". 1951 Don SI Sle D, Springfield, OR '.,.. Ore.9,IIItO'e,'&'<0~4,.,. d.. . 97477-1993 .'. '., Oil I ,,:'!];:, ,.1/1< 'iJ:.'t..( ,', ViiI.... (C., 'I" /~ ,-.. '~~/lJ "(.' ,_ 'o'~ AI Office Use . :>,_ 0,11}. 'v"e 'VI\,," Jj Cr::h ~ 'U:-~ Use: # Of Buildings: -4,/, v.s~~m~' Code: Occupancy Group: ",,",. " ,. Co ''Y''~~ .ro,oS:)s: Heat Source: "'/I n,I/fI"Ra~ID:: 'I-t.</t., Sq. Footage: ..." h. <:,A,_ II, 1>-, "8, ''"~Z> "V~"",v/,() To request an inspection call the 24 h~trArjlco;qi~.~,at~l?%~76!l('bll inspections requested before 7:00 a.m. will be made the same working day, in~9}ions'~qu~st~aner~;po a.m. will be made the following working day. O~ I~O/l,; ~7'L 0-9/r ~D" ;Sf\ll'l~ Required Inspectl~'ls . Mechanical I 2150 Laura St#117 Springfield, OR 97477 Value: $0 Address: Contractor Type Mechanical Contr Contractor Phone 541-726-0100 Quad Area: # Of Units: Constr, Type: Water Heater: Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: , I , . Job# 00-00625-01 . Page 2 012 " Fee Paid On Receipt# I Mechanical 04/28/2000 1402 04/28/2000 1402 04/28/2000 1402 04/28/2000 1402 04/28/2000 1402 Value/Quantity Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total By signature, I state and agree that I have carelully 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 01 the City 01 Springfield and the Laws of the State 01 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 r~a~ ;~~eRap ~aJe project address is readable from the street. , ~Ih Signature . Date . 1 $9.00 $.45 $6.00 $10.00. $1.05 $26.50 $26,50