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Home My WebLink AboutPermit Mechanical 2000-06-12Job# 00-00929-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of2 TRAN$$:01-0002120 DATE:JUN 12 2OOO AHT REID:Z $ 26.50 IHANEE: CASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2591 00038th St Spr AssessorsMap#: 17021942 Lot: BIock: Addition: Job Number: 00-00929-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 09500 Subdivision: ctTY oF sPRtAtGFlELq OREGON Owner: Comfort Flow Heating Co Address: 1951 Don St Ste D Scope Of Work: Mechanical Phone Number: City/State/Zip: Alteration 541-726-0100 Springfield, OR 97477-1 993 Value: $O ContractorType Contractor Manuf Home lnstall Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6t27t01 Phone 541-726-0100 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requeste$pffitffia.m. will be made the following working day' TFii[i pEHtv:TSt-+A.L [Xrli-i1,: ii rHE \nrc)r.i, Required lnspeqfilpgg Mechanical _ _-l Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) - Prior to cover. -When all mechanicalwork is co ANY 180 DAY PERIOD mprere. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Main:Accessory:Tota!: Si,\lil.iFlELD Job# 00-00929-01 Page 2 of 2 iee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 06t12t2000 06t12t2000 06t12t2000 06t12t2000 0611212000 2120 2120 2120 2120 2120 1 $9.00 $.45 $6.00 $10.00 $1.0s $26.50 Grand Total By signature, hereby certify I state and agree that I have carefully examined the completed application and do that all information herein is true and correct, and I further certify that any and all work performed shal I be done in accordance with the Ordinances of the City of Springfield and the Laws of the of Oregon.I further state that only contractors and employees who are in compliance with 1.055 will be on this project. I further agree to ensure that all required inspections are req at the me and that the project address is readable from the street. Date $26.50 SPRINGFIELD Job# 00-00929-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 00-00929-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 09500 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2591 00038th St Spr AssessorsMap#: 17021942 Lot: BIock: Addition: ctTY oF SPRfiNGFfiELq OREGON Owner: Comfort Flow Heating Co Address: 1951 Don St Ste D Scope Of Work: Mechanical Phone Number: City/State/Zip: Alteration 541-726-0100 Springfleld, OR 97477-1 993 Value: $0 ContractorType Contractor Manuf Home lnstall Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6t27101 Phone 541-726-0100 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. 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. Required lnspections Electrical Rough Electrical Final Electrical Rough Mechanical FinalMechanical - Prior to cover. -When all electrical work is complete Mechanical - Prior to cover. -When all mechanicalwork is complete. Job# 00-00929-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? ! (sq Main:Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 06/16/2000 06/16/2000 06/'t6/2000 2185 2185 2185 3 $39.00 $2.73 $1.17 $42.90 Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 06t12t2000 0611212000 06t12t2000 0611212000 0611212000 2120 2120 2120 2120 2120 1 $e.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 the proper time and that the project address is readable from the street. Signature Date $69.40