HomeMy WebLinkAboutPermit Mechanical 2000-12-21
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SPRINGFIELD
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I Job# 00-01822-01 I
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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. '
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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
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Fee
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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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