HomeMy WebLinkAboutPermit Mechanical 2000-6-19
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I Job# 00-00959-01 I
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Page 1 of2
TRANS#:01-0002212
DATE:JUN 19 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00959-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 635 Nicholas Dr Spr
Assessors Map#: 17032212
Lot: Block: Addition:
Tax Lot #: 01311
Subdivision:
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Phone Number: 541-736-1856
City/state/zit:/077cringfield, OR
Alteration '1ttISp~ ~Value: $0
-40; <:11411
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Registratro'M, yl Elfp'iration~eate ~h '~/!,.hone
p. 'v"l~ v'"'13 'I"f/;;'V/.
460 li;~L91J-4/vDOfl' 11A11.5f,l-7li6t01 00
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Owner:
Rob and Stephanie White
635 Nicholas
Address:
Scope Of Work: Mechanical
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,.. \A!I inspections requested before 7:00
a,m, will be made the same working day, inspections re,9Qestedl!\~e~'7':00 1l,!Y'. will be made the following
working day. (lId,: ", tl_ 30(1'1;: '.
..., ... "", . .~" t11 ,. l. ~
....ur_ _ __ " '1:/,- /"',_. ...- ,/ul,.
RequireCl:lnspections '. : /"',,
l~ect1anica'l ' , I
M h . I p' -.,,'11 ....
Rough ec anlca - nor to cover. ' rldi', U' " '
Final Mechanical - When all mechanical work is complete." 'OJ",
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
, # Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-00959-01
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Page 2 of 2
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Fee
Paid On Receipt#
Mechanical
06/19/2000 2212
06/19/2000 2212
06/19/2000 2212
06/19/2000 2212
06/19/2000 2212
Value/Quantity
1
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
By signature, 1 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 7 ,055 will be used on this project. I further agree to ensure that all required inspections are
reqUeted at the prope II e and that the p~ject address is readable from the street. ~I tJD
Signature '-------"" Date
1
$9.00
$.45
$6.00
$10,00
$1.05
$26.50
$26.50