HomeMy WebLinkAboutPermit Mechanical 2000-10-10
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Job# 00-01519.01
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Page 1 of 2
TRANS#:01-0003432
DATE:OCT 10 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01519-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4655 Hailey Ct Spr
Assessors Map#: 18020512
Lot: Block: Addition:
Tax Lot #: 10000
Subdivision:
Owner:
Mark Ellister
4655 Hailey Ct
Phone Number: 541-747-0518
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
install heat pump
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: Heat Source:
Range: NOTICE: Sq. Footage:
I HI::> PERMITSHAU EXPI8E IF~r::WORK
To request an inspection call the 24 hour recording at 726-3769. All insRections.re~uested before 7:00'
a.m. will be made the same working day, inspections requested afte'r<7':OO)a'h1tWiiIJo~)lTFad~ihe"fOiiOwm'g; NOT
working day. COMMENCED OR IS ABANDONED FOR
R . d I t' ANY 11ln nAY PI=QI()I'"\
eqUlre nspec Ions
Mechanical I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ MaIO: Accessory:
A.T7E;.., - OI\j;Cre~"r 'a'~ 'equire~ yout,..
IO!'?W rule~ adopted by :he Oregon Utilit.
otlflcatlon Centel. Those rules are set ton
# Of Stories: ' OAR 95~?f.IMqfe1lt)fough OJ\R 952-001
C t U 't J090. You rnpilv nhT"di~U~"""t ios of tho rules b\
urren m s: . ropose m s: - J
callmg the cemer. (Note: the telephone
Census Code: Does n.ot/appjYforthe Oregon U"I't N 'f' .
, co ":.1_ III Y otl/catlon
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Total:
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Job# 00-01519-01
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Page 2 of2
Fee
Paid On Receipt#
Mechanical
10/10/2000 3432
10/10/2000 3432
10/10/2000 3432
10/10/2000 3432
10/10/2000 3432
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
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
OR 01.055 Will~ bsed on this project. I further agree to ensure that all required inspections ar
re , e ed at the pr e tim~ ~at~project address is readable from the street. / Dill JcJ()
. -. - -
Signa ure Date
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50