HomeMy WebLinkAboutPermit Building 2001-9-17
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I Job# 01-01007-01 I
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TRANS#:01-0006715
DATE:SEF' 17 2001
AMT RECD:2 $ 123.50
CHANGE:
CASHIER: 003
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01007-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2595 debra Dr Spr
Assessors Map#: 17032344
Lot: Block: Addition:
Tax Lot #: 04400
Subdivision:
Owner:
Sandy Potter
2595 Debra Drive
Phone Number: 541-747-7409
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
replacing gas furnace & air conditioner
Contractor Type
Mechanical Contr
Contractor Registration # Expiration Date
Comfort Flow
1951 Don Street, Springfield, OR 97477
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. wiil be made the following
working day.
Final Mechanical
Required Inspections
I Mechanical
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
["""Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
09/17/2001 6715
Value/Quantity
Fee Amount
Minimum Mechanical Permit
$21.00
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Job# 01-01007-01
Paid On Receipt#
Mechanical
09/17/2001 6715
09/17/2001 6715
09/17/2001 6715
09/17/2001 6715
09/17/2001 6715
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Fee
Value/Quantity
Fee Amount
Administrative Fee - Mechanical
Less than 100,000 BTU
3hp - - 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
1
$3.60
$12.00
$12.00
$10.00
$3.15
$61.75
$61.75
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"" .055 will be used on this project. I further agree to ensure that all required inspections are
requeste at t~~:o~: a: t~;;e:ect address is readable from the street. q/ tf/ql
Sign lure Dale