HomeMy WebLinkAboutPermit Mechanical 2000-9-20
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I Job# 00-01424-01 I
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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:
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"
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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
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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 -
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Date