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HomeMy WebLinkAboutPermit Mechanical 2001-03-30SPRINGFIELD Job# 01-00307-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 157 00012th St Spr AssessorsMap#: 17033541 Lot: Block: Addition Job Number: 01 -00307-0'1 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00201 Subdivision: ctTY oF SPRINGFIELD, OREGOTV Owner: Jerry Smith Address: 157 12th Street #85 Scope Of Work: Mechanical Phone Number: City/State/Zip: Alteration 541-747-3557 Springfield, OR97477 Value: $0 REPLACING AN EXISTING HEAT PUMP Contractor Type MechanicalContr Contractor Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6t27t2001 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 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. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Gensus Code: Does not apply Total Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance 0313012001 03/30/2001 0313012001 03/30/2001 1 $9.00 $.45 $6.00 $10.00 4BO7 4807 4807 4807 Job# 01 -00307-01 Page 2 oI 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Mechanical Tota! Mechanical 03/30/2001 4807 $1.05 $26.s0 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 .055 will be used on this project. I further agree to ensure that all required inspections are at the p r time and that the project address is readable from the street. sig re Date $26.50 cl