HomeMy WebLinkAboutPermit Mechanical 2001-4-24
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I Job# 01-00781-01 I
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Page 1 of 2
TRANS#:01-0006236
DATE:JUL 24 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00781-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4938 Daisy St Spr
Assessors Map#: 17023333
Lot: Block: Addition:
Tax Lot #: 01741
Subdivision:
Owner:
Address:
Barbara Straugher
4938 Daisy
Phone Number: 541-746-4017
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Mechanical
Install heat pump
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co.
1951 Don Street, Springfield" OR
97477-1993
Registration #
460
Expiration Date
6/27/2003
Phone
541-726-0100
Office Use
Quad Area: Land Use: NOTICE'# Of Buildings:
~~:s~;'i~~pe: ~:~~:~;:~e: THIS PER~~~~~~bl:f~@R~IFTHE WORK
Water Heater: Range: AUTHORIZ~~lIf0b1aglHIS PERMIT IS NOT
r.OMMl=NCED OR IS A~ANUUI~~D FG~
To request an inspection call the 24 hour recording at 726-3769, All insp~ctionsreq~S~eA,~~~ore 7:00
a,m, will be made the same working day, inspections requested after 7:0@\~~fn1ROil'j)8e ~aaeC.the following
working day,
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete,
ATTENTION:Orf:gon fe.w requires you to
follow rules adopted by tile Oregon Utility
Notification Center. TiloS3 rulas are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
# Of Stories: A'erg,"'t~ieet):e Oregon UWity Notification
Current Units: Proposl~ijl"~1tW~~ -800-332-2344).
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet!
Main:
Accessory:
Total:
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Job# 01-00781-01
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Page 2 of 2
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Fee
Paid On Receipt#
Mechanical
07/24/2001 6236
07/24/2001 6236
07/24/2001 6236
07/24/2001 6236
07/24/2001 6236
Value/Quantity
I
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$9,00
$.45
$6,00
$10,00
$1,05
$26.50
$26.50
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( tate of Oregon. I further state that only contractors and employees who are in compliance with
O~S 01,055 wir e used on this project. I further agree to ensure that all required inspections are
re":!ue ted at the )r per time and that the project address is readable from the street. 17, / 1
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Signature
Date