The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2000-10-20Job# 00-01549-01 RESIDENTIAL PERM!T City Of Springfield Community Services Division Building Safety Page 1 of 2 siPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 337 00035th St Spr AssessorsMap#: 17023131 Lot: Block: Addition Job Number: 00-01 549-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 01101 Subdivision: ctTY oF SPRfiNGFfiEL4 OREGOfi| Owner: Barbara Hensley Address: 337 35th St Scope Of Work: Mechanical New Gas Furnace and Water Heater Phone Number: City/State/Zip: New 541-726-1261 Springfield, OR Value: $0 Contractor Type Mechanical Contr Contractor Comfort Flow Heati 1951 Don St Ste D, 97477-1993 Registration # Expiration Date Phone 460 6127101 541-726-0100 Office Use - ,'l Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: Range: Of Buildings Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24 a.m. will be made the same working working day. FinalPlumbing Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical at726-3769. All inspections requested before 7:00 requested after 7:00 a.m. will be made the following 4NY t8o -When allplumb Mechanical - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te: -When all gas work is complete. -When all mechanicalwork is complete. Job# 00-01549-01 # Of Stories: Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply Total: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Plumbin Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 1012012000 10t20t2000 10t20t2000 3555 3555 3555 $15.00 $1.0s $.4s $16.50 One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanica! 10t17t2000 10t17t2000 10t17t2000 1011712000 10t17t2000 10t17t2000 3500 3500 3500 3500 3500 3500 1 1 $2.00 $7.00 $.45 $6.00 $10.00 $1.05 $26.50 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 ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at proper time and thal the address is readable from the street. S re Date $43.00 10 -u -oo Page 2 ol 2 Job# 00-01549-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANSS:01*0003500 DATE;UIT 17 ?00S Rt'lT REln:2 $ ?6.50 [HAI.{EE: IASHiER:059 SPFINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 337 00035th St Spr AssessorsMap#: 17023131 Lot: Block: Addition: Job Number: 00-01 549-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 01101 Subdivision: ctTY oF SPRfiNGFIELq OREGON Owner: Barbara Hensley Address: 337 35th St Scope Of Work: Mechanical New Gas Furnace and Water Heater Phone Number: City/State/Zip: New 541-726-1261 Springfield, OR Value: $O Contractor Type Mechanical Contr Contractor Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6127101 Phone 541-726-0100 Office Use - Land Use:# Of Buildings:Quad Area: # Of Units: Gonstr. Type: Water Heater: zorlints eOm{17 SHqu FyFr'r, r _,,_ . occupancy Group: BedtgomnqlTtrf r r *.,,.-::' " i; tr- IFIE WOPftt Source: nargef,\+r,vCI;, XE',:H_r Til eEfi iv,lr is ffio,rrootage: To request an inspection callthe 24hour recording at726-3769. 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. -After line -When Required lnspections Mechanical line has been connected to a minimum of one appliance. Pressure terGas Service Final Mechanica! Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Height (feet): Current Units: Proposed Units Census Code: Does not apply Area (Sq. Main:Accessory:Total: Job# 00-01549-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical 10117t2000 10t17t2000 10t17t2000 10t17t2000 10t17t2000 10t17t2000 3500 3500 3500 3500 3500 3500 1 $2.00 $7.00 $.45 $6.00 $10.00 $1.05 $26.50 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 o 701.055 will used on this project. I further agree to ensure that all required inspections are at the time and that the project address is readable from the street. Signature Date $26.50 1 \c(nloo