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HomeMy WebLinkAboutPermit Mechanical 2002-5-13 ;;. . I Job# 02-00562-01 I . Page 1 of 2 TRANS#:01-000B997 DATE: MAY 13 2002 AMT RECD:2 $ 61.75 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00562-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3621 Assessors Map#: 17021942 Lot: Block: Hayden Bridge Rd Spr Replace furnace and add AC Tax Lot #: 05300 Addition: Subdivision:S you t,o ...._..--. IUlI,h' AI \I~"''' '. r.l b" me U"'!,l~" - ' . h toI\B!!Q[leJ Numbi~+h9f~ iz'jI,M289;et tort '/' ,ti~nCentel, ~"~RQ"i2-001- Notl'Ci~/StateJZip',j10tSpriiigfiel ,OR 97Atla , OAR i3b~-uU \-", ies ot nil I u,";:' 1 1~1J$!??irou may obtain ~~fe:\(~luj:l:ep$o~e calling the center,l Utility Notification numbertor the,01re8g~;_332_2344), I""'o.ntAr,s .. Owner: Doug Wise 3621 Hayden Bridge Rd Address: Scope Of Work: Mechanical Contractor Type Mechanical Contr Contractor Pacific Air Comfort Inc Po Box 790, Roseburg. OR 97470 Registration # 39237 Expiration Date 3/25/2002"-\ ~ Phone 541-672-9510 Office Use Land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat Source: 'l'l0\'.\I.. Range: _. c. _ ~WPU\~lfel\'\~ t>.\Q"{ "u,\t-lti~.~~Ptt\\J{11 \S To request an inspection call the 24 hour recording at 726-3769t~i!?i&.i ~~~ Pmg):J'OO'" a,m, will be made the same working day, inspections requested il.~' .'till\b$ e~ollowing working day, COtAtA;~~f\'f ~~p.\OO. Required Inspectk<<J" ~ , Quad Area: # Of Units: Constr, Type: Water Heater: Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Fee( I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . . Job# 02-00562-01 . Page 2 of 2 Value/Quantity Fee Amount " . f"j' Fee Paid On Receipt# I Mechanical 05/13/2002 8997 05/13/2002 8997 05/13/2002 8997 05/13/2002 8997 05/13/2002 8997 1 $33,00 $3,60 $12,00 $10,00 $3,15 $61,75 Minimum Mechanical Permit 8% 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 OR,S 701,055 wil be us~~n ~,hiS roject. I further agree to ensure that all required inspections are re~ueste~~0?4.:pct address is readable from the street. ~/fy;./'f;J ~ Sigharu're () , ~te / $61.75 ~ Owgon Construction Contract_oard>> License Details . Page I of I OREGON CONSTRUCTION CONTRACTORS BOARD License Details as of May 14, 2002 6:54 AM LICENSE NUMBER: 39237 NAME: PACIFIC AIR COMFORT INC ADDRESS: PO BOX 790 ROSEBURG OR 97470-0000 WORK PHONE NUMBER: 541-672-9510 LICENSE STATUS: Active EXPIRATION DATE: 3/25/2004 DATE FIRST LICENSED: 3/19/1982 ENTITY TYPE: Corporation LICENSE CATEGORY: General Contractor/All EMPLOYER STATUS: NON-EXEMPT COLONIAL AMERICAN BOND COMPANY: CASUALTY & SURETY CO BOND AMOUNT: $ 15000 BOND EFFECTIVE TO: 3/25/2004 View Bond Historv MID CENTURY INSURANCE COMPANY: INSURANCE CO INSURANCE AMOUNT: $ 1000000 INSURANCE EFFECTIVE 9/19/2002 TO: View Insurance Historv View Claims Historv View X-Reference Licenses View SIC Code~ View A~sociated Names View Buildino Codes Division License Details aeiintlihis\WiiJ_1 QUERY MENU CCB HOME Send mail to Web Admini!;trator with questions or comments about this web site. Page Last modified: February 22, 2002 .QUERY COMPONENTS READ LIVE DATA P;~t#Cn1iiu (j .-- ;-~~;. ' '; .....h~ State of Omnnn I i::lbilitv $hltement http://ccbed,ccb,state,or ,us/Bill/regno222 ,asp 5114/2002