HomeMy WebLinkAboutPermit Mechanical 2000-08-24RESIDENTIAL PERMIT
_ City Of Springfietd
Community Services Division
Buitding Safety
Page 1 of2
Job Number: 00-01293-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 09500
Subdivision:
541-726-7318
Springfield, OR9t4T7
Value: $O
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225 North Fifth Street
Springfietd, OR9t47T
Location Of proposed Site: 446
AssessorsMap#: 17033524
Lot: Block:
Owner: PaulMinder
Address: 446 sth St
Scope Of Work: Mechanical
install air conditioner
Contractor Type
MechanicalContr
Addition:
Phone Number:
City/State/Zip:
New
00005th St Spr
Jt*P\
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfietd, OR
97477-1993
Registration #
460
Expiration Date
6127t2001
Phone
541-726-0100
293,-01
CITY OF OREGON
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
office use _
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
ORIS
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made the same working day, inspections requested after 7
working day.
Required lnspections
Mechanical
ISNOT
FOB
ANY 1800 AY
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
-Prior to cover.
-When all mechanicalwork is complete
# Of Stories:
Current Units:
Census Code: Does not apply
Accessory:Total:
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Job# 00-01293-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
0812412000
0812412000
08t2412000
0812412000
0812412000
301 0
301 0
301 0
301 0
301 0
1
$9.00
$.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 I further state that only contractors and employees who are in compliance with
701 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.
nature Date
$26.50
of Oregon.
.055 will be
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