HomeMy WebLinkAboutPermit Mechanical 2001-7-25 (2)
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Job# 01-00784-01
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Page 1 of 2
TRANS#:O~-0006~44
DATE=JUL ~5 :001
A~T RECD:~ $ :u,50
CH;;; ~GE :
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services DIvIsion
BUilding Safety
Job Number 01-00784-01
225 North Fifth Street
Spnngfield, OR 97477
Location Of Proposed Site ~ Cambridge SI Spr
Assessors Map# 17032334
Lot Block Addition
Owner
Address
Office 726-3759
Inspection Line 726-3769
Tax Lot # 02600
SubdivIsion
Roy Ledford
433 Cambndge Street
Phone Number 541-741-7407
City/State/Zip Spnngfleld, OR 97477
New Value $0
Scope Of Work Mechanrcal
Install heat pump
Contractor Type
Mechanrcal Contr
Contractor
Comfort Flow Heating Co
1951 Don Street, Spnngfleld" OR
97477-1993
Registration # Expiration Date
460 6/27/2003
Phone
541-726-0100
Office Use
Land Use ~'OTfCE' # Of BUildings
Zoning Code \l ~ ". . Occupancy Group
Bedrooms THIS (L rtr/IT SHAUHeat'lS'Qu'fceL~E WORI<
Range AUTHOR!ZED UNDE~q;-f~eqtf!gl'~iIT IS NOT
COMMf:NCfO OR IS ABANnONED I=m~
To request an inspection call the 24 hour recording at 726-3769 AlllnSRectlons reguesteaoefore TOO
p'~')J 1"" Df!V Dr..Oj....'"'
a m Will be made the same working day, inspections requested after- 17,00 a'm 'WII..oe made the follOWing
working day
Quad Area
# Of Units
Constr Type
Water Heater
Rough Mechanical
Final Mechanical
Construction Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? D
-Area (Sq Feet)
Main
ReqUired Inspections
Mechanical I
- Pnor to cover
- When all mechanrcal work IS complete !i.TTENTION Orego I
' n aw reqUIres you to
follow rules adopted by the Oregon Utility
NotifIcation Center Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090 You may obtam copies of the rules by
# Of Stories callmg W91 ciirt.(f~r!{}~lote the telephone
number lOr l~'e Oreoon Utility N t f t
Current Units CRflop'osed'Unlts 0 Ilca Ion
8 !,l,l,' I::> 1-8Ul.h:l.j2-2344)
Census Code Does not apply
Accessory
Total
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Job# 01-00784-01
Page 2 of 2
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Fee
Paid On Recelpt#
Mechanical
07/25/2001 6244
07/25/2001 6244
07/25/2001 6244
07/25/2001 6244
07/25/2001 6244
Value/Quantity
Fee Amount
Minimum Mechanical Permit
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 I te of Oregon I further state that only contractors and employees who are In compliance With
Of)S 01 055 WI ~ used on thiS project I further agree to ensure that all required inspections are
re . ue d at th~IJAAXe project address IS readable from the street 1 /J6j () /
- \. - , I
Signature Date
1
$900
$45
$600
$1000
$1 05
$26 50
$26 50