HomeMy WebLinkAboutPermit Mechanical 2000-7-28
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SPRINQFIELD
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225 North Fifth Street
Springfield, OR 97477
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I Job# 00-01169-01 I
Page 1 of 2
TRANS#:01-0002706
DATE:JUL 28 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01169-01
*
Office: 726-3759
Inspection Line: 726-3769
Lawnridge Ave Spr
Location Of Proposed Site: 1344
Assessors Map#: 17032522
Lot: Block:
Owner:
Address:
Tax Lot #: 03000
Subdivision:
Addition:
William and Carla Kellogg
1344 Lawnrudge Ave
Phone Number:
CitylStatelZip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Registration #
460
Expiration Date Phone
6/27/01 541-726-0100
Comfort Flow Heating Co
1951 Don St Ste~Jsi:il@ilfield, OR
97477-1993 T
HISPERMITC:I-ILlII CVDln....'....~,,_...___
--.. ..........VIIt\
AUTu':.'~~2:::Offic.~!;!~.e,- m:, t"t:HIVIIT IS NO'[
COMitanlWse:JR IS ABANDONED FOR
ANYZQriingIC~!!DD.
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, inspeclions requested after 7:00 a.m. will be made the following
working day. "\1"1 EI\j; ',.", ' -
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40tlticatl C "ftE!qulI'IllJ'Jm"pelltf.,,~. vu"..
. nOAR9;o~~~G'~~~~~~
- PnorJOOOl~u may obtain copie~ Of tM rule~ b
- When allItImg~lIl!i~~ifdtW:'lI\W\ilfePhon~ '
nllmber for the Oregon Utility Notificatior
l-.")r,~""i:- ~.;1'1n"-:::-'.'''l'1th
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
Rough Mechanical
Final Mechanical
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-01169-01
Page 2 of 2
Fee
Paid On Receipt# ValuelQuantity
Mechanical 1 '
07/28/2000 2706
07/28/2000 2706
07/28/2000 2706 1
07/2812000 2706
07/28/2000 2706
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 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 ~ate of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 Wil~,'~~~~d on this project. I further agree to ensure that all required inspections are
reffl~~~~he ~7/0t;tProject address is readable from the street. -; /]X / m
Signature Date
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50