HomeMy WebLinkAboutPermit Mechanical 2001-6-18
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Job# 01-00622-01
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Page 1 of 2
TRANS#:01-0005852
DATE:JUN 18 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 003
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00622-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6240 Main St Spr
Assessors Map#: 17023431
Lot: Block: Addition:
Tax Lot#: 03102
Subdivision:
*
Owner:
Address:
McKenzie Manor
Phone Number: 541-988-3252
City/State/Zip: Springfield, OR 97478
New Value: $0
6240 Main Street
Scope Of Work: Mechanical
New HVAC System (Heat Pump).
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating
1951 Don Street, Springfield, OR 97477
Registration # Expiration Date
460 6/1/2003
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 at 726-3769. 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 Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 01-00622-01
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Fee
Paid On Receipt#
Mechanical
06/18/2001
06/18/2001
06/18/2001
06/18/2001
06/18/2001
Page 2 of 2
Value/Quantity Fee Amount
I
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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
rn;s~~t tt:J:e~mO~ the project address is readable from the street. hl)x./Q/
~~ture . Date
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50