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HomeMy WebLinkAboutPermit Mechanical 2000-12-21 ~ -=-- - ~,' -;i SPRINGFIELD ~ '. I Job# 00-01822-01 I . Page 1 of~ANStl:Ol-0004100 DATE: DEe 21 2000 AMT RECD:2 $ 79.50 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01822-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6973 Glacier Dr Spr Assessors Map#: 18020223 Lot: Block: Addition: Tax Lot #: 04600 Subdivision: Owner: John and Stephanie Mciver 6973 Glacier Dr Phone Number: 541-726-1454 City/State/Zip: Springfield, OR Alteration Value: $0 Address: Scope Of Work: Mechanical Gas Furnace and a/c Contractor Type Mechanical Contr Contractor Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6/27/01 Phone 541-726-0100 1;1. ' " ' Quad Area: .J..I ':'_011"',1; # Of Y,!1,its: Constr, Type: Water Heater: .,'1' I"'" ,'" (f',' I ill . ,Office Use ", Land'U,se: ,;" .qr,\)/i.-1ZoningCode: ~~\" I, l~ Be1dfooms: ,I '-:~Ra~'ge: , .' '. -(,"'.....~,~- # 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, inspections requested after 7:00 a,m, will be made the following working day, Required Inspections Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical , -"'.tF~ -,.. , ':Prior to cover. 'I::R: 1\i\fter:line iSlinstalled.andline,has been connected to a minimum of one appliance, -, ""-" I nc vu' I~i{ ~O;:l,Z:When'alllgas,work.is complete: - ,-, ~,~ In'~'''':..I''''~~lIIrr''~'''-r , ',- ,-,When all mechanical worK' is'complete, ,', .,,', 'L"-'~ 4BANDONEDFOR , ;'!'9/0D, Pressure te~ Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq, Feetl I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feetl: Proposed Units: Total: 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 th tate of Oregon. I further state that only contractors and employees who are in compliance with o 701.055 will be sed on this project. I further agree to ensure that all required inspections are r qu sted at the pr time and t:a~e p~ect address is readable from the street. /2/21/ OD Signature Date ;y ~ Fee One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical :;;;iiii . . Job# 00-01822-01 Page 2 of2 Value/Quantity Fee Amount Paid On Receipt# Mechanical 12/21/2000 4100 12/21/2000 4100 12/21/2000 4100 12/21/2000 4100 12/21/2000 4100 12/21/2000 4100 1 $2,00 $7.00 $.45 $6.00 $10.00 $1,05 $26.50 $26,50 1