HomeMy WebLinkAboutPermit Mechanical 2001-6-29
.
I Job# 01-00669-01 I
.
Page 1 of2
TRANS#:01-0006026
DATE:JUN 29 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
.
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00669-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4590 Holly St Spr
Assessors Map#: 18020512
Lot: Block: Addition:
Tax Lot #: 07400
Subdivision:
Owner:
Harlese Christison
4590 Holly Street
Phone Number: 541-747-8033
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
Heat pump
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co,
1951 Don Street, Springfield" OR
97477-1993
Registration # Expiration Date
460 6/27/2003
Phone
541-726-0100
Office Use
# Of Buildings:
Occupancy Group.:
, 'H IS",,';ro.~.yoU lO
-roE"c, "gbl eat ou. rce. Ut'\'lty
Al I I .. - . f .. ,.....o.nnn I
Range: ! II W ru'es 6.cio~led Sq. 'Footage: et forth
nO, _.___.....IO'c:;..lreS
I\lntif;catio:1~am"', "'w_, O!l..R952-001-
To request an inspection call the .24 hour recordi~g at 726-37~,9,;)~!1, iD~p.e,ction~slreq'~esl~3tl:i~f~I(~ ?t,Q~3 by
a.m. will be made the same working day, inspections requestea after(7.:0Q.a,m),wllI 'bernaCle the\followlng
. UU>:IU. vU ",., N te'thele"f''''''''
working day. \I'ng the center. ( 0 . 'f' at' Ion
ca I on Utility NottlC
R . d I .._I-oor !nrlhe Oreg - - . "
eqUlre nspectlc . 's 1 ~UU-O:>O:>"-'~U' .,
Cemer I -v
Mechanical I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
# Of Stories: AUTHORIZE'H~I~RfWe1lti? PERMIT IS NOT
Current Units: COMMENCEpr'il~Jie6d'lU~~NED FOR
Census Code: Doeslti"litlapplyW PERIOD.
Total:
.
"..I
Job# 01-00669-01
.
Page 2 of 2
Value/Quantity Fee Amount
I
.
Fee
Paid On Receipt#
I Mechanical
06/29/2001 6026
06/29/2001 6026
06/29/2001 6026
06/29/2001 6026
06/29/2001 6026
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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 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
request~ time;::; ~:j~;ess is readable from the street. {;'/2-7 / a-I
signa7: Date