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HomeMy WebLinkAboutPermit Mechanical 2000-9-20 I .' . 410 ~. I Job# 00-01424-01 I . Page 1 of 2 TRANS#:01-0003267 DATE:SEP 20 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER:061 SPRINGPIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01424-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 * Location Of Proposed Site: 55 Assessors Map#: 17032241 Lot: Block: Lorie Ct Spr Addition: Tax Lot #: 02800 Subdivision: Owner: Address: JDY DesaIoff 55 Lorie Ct Phone Number: 541-726-4656 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical install gas furnace and water heater Contractor Type Mechanical Contr Contractor Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6/27/2001 Phone 541-726-0100 Office Use Land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: NOTICrteat Source: Range: Sg..Footage::XPIRE IFTHE WORK li-J'C01=kl\J111 i;:lMn....-'- -^:'".~lC'T . . OI7l::[) , JNDER THIS !-'t:hIVIlI '''''V' To request an inspection call the 24 hour recording at 726-3769. All inspectic:ili'SHe'quested befDr~ l:OQi}ONED FOR a.m. will be made the same working day, inspections requested after 7:00 a\!pJ\m!\~erni'ad6\th~fdlfo'Wlhg working day. ANY 180 DAY PERIOD. Quad Area: # Of Units: Constr. Type: Water Heater: Required Inspections Mechanical Rough Mechanical Final Mechanical - Prior tD cover. -When all mechanical work is complete. ire' 'IOU to AJTENTION:Olegon law requ 0 Uflit. ,.. d t dbytheOfegon I ~ follow rules a ope ulesarese!fon;. Notification Centel. Those r hOAR 952-00' . in OAR952-001-001~thro~9 softhe rules by # Of Stories: IW9llnflliU)1ay obtain ~~f~~thetelePhone Current Units: Pr~ea i!iWi~n~:e~on Utility Notification Census Code: Does not apply nu;nb3~~~~~~iS i _e(lI').'13?~3al\). Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. r, ,1) I Main: Accessory: Total: ,. .. " . . Fee Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total Job# 00-01424-01 Paid On Receipt# Mechanical 09/20/2000 3267 09/20/2000 3267 09/20/2000 3267 09/20/2000 3267 09/20/2000 3267 . Page 2 of2 Value/Quantity 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 s~at of Oregon. I further state that only contractors and emplDyees who are in compliance with ORS 7 1. 55 will be uOon this project. I further agree to ensure that all required inspections are reque te at the prope ti e and that the project address is readable from the street. Aill\ ,{ /k f Q..fL-. SignKture - q /Z6/ih ., - Date