HomeMy WebLinkAboutPermit Mechanical 2000-04-20Job# 00-00601-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPRINGFIELE,
€n
TRANS*:01-0001117
DATEIAPR 20 2OOO
Al{T RE[D:? $ 26,50
IHANGE:
IASHiER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2498 00035th St Spr
AssessorsMap#: 17021942
Lot: Block: Addition:
Job Number: 00-00601-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00600
Subdivision:
clTY oF SPRINGFIELD, OREGON
Owner: Ken Morris
Address: 2498 35th St
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
541-746-8848
Springfield, OR97477
Value: $O
Contractor Type
MechanicalContr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration # Expiration Date Phone
612711999 541-726-0100
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code
Bedrooms:
Range:
-.a+rFE.
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
TNrrrv-E-
NolTo request an inspection call the 24 hour recording at726-3769
a.m. will be made the same working day, inspections requested
working day.
Required
Mechanical
Final Mechanical -When all mechanicalwork is complete.
Construction. Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
OBISABAN DONED
80
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
(Sq. Feet)
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit 0412012000 1317 1 $15.00
laq /
Job# 00-00601 -01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Mechanical Administrative Fee
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
04120t2000
04t20t2000
04120t2000
1317
1317
1317
$.+s
$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 the proper time and that the project address is readable from the street.
Signature Date
$26.50