HomeMy WebLinkAboutPermit Mechanical 2001-10-24
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I JDb# 01.01177.01 I
SPRINQFIELD
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Page 1 Df 2
TRANS#:01-00070BO
DATE:OCT 24 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services DivisiDn
Building Safety
225 NDrth Fifth Street
Springfield, OR 97477
LocatiDn Of Proposed Site: 589 Harlow Rd Spr
Assessors Map#: 17032712
Lot: Block: Addition:
Owner:
Address:
David Bristel
589 Harlow Rd J
Phone Number: 541-988-9821
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Install heat pump and air handler
Contractor Type
Mechanical Contr
Contractor
Comfort Flow
1951 Don Street, Springfield, OR 97477
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range: .
JDb Number: 01-01177-01
Office: 726-3759
InspectiDn Line: 726-3769
Tax Lot #: 01900
Subdivision:
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RegistratiD!'.#, Expitation'Date ~ ".., 'o.:Phone
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'C'., _".0':,'. .t. ".,,',,-.\,54M26-0100
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O""/~'\\,,~'L'" #OfB~i1dirigs:
c~;;i":;"6~pcc:u~a~cy GrDup:
1\ 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 wDrking day, inspections requested after 7:00 a.m. will be made the following
wDrking day.
Required Inspections
Mechanical I NOi\CE: PIRE If 1\1E WORK
- Prior to cover. 1uIS PERMIi S\1f'.L:~)(1UIS PERMI1 IS N01
-When all mechanical wDrk is cDmplete. ('l UNO<:." ('l
f'.U1\10RIZEO S f'.Bf'.NOONEO fOR
COMI'i,SNCEO OR I
f'.N'I1BO OA'I PERIOO.
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: DDes nDt apply
Total:
Height (feet):
Proposed Units:
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Job# 01.01177.01 I
Paid On Receipt#
Mechanical
10/24/2001 7080
10/24/2001 7080
10/24/2001 7080
10/24/2001 7080
10/24/2001 7080
10/24/2001 7080
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Page 2 of2
Fee
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand TDtal
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all infDrmation 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 te Df OregDn. I further state that only contractors and emplDyees who are in compliance with
ORS 1,055 will ~;~~jd on this project. I further agree tD ensure that all required inspectiDns are
req Je ed at the p{:.j~h~rOject address is readable from the street. / tf)/) ( i/(J /
Signature ~t
1
1
$25.00
$3.60
$12.00
$8,00
$10.00
$3.15
$61.75
$61.75