HomeMy WebLinkAboutPermit Mechanical 2003-4-23
City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: MEC2003-00028
ISSUED: 4/23/2003
APPLIED: 4/23/2003
EXPIRES: 10/23/2003
SITE ADDRESS: 1336 TAMARACK ST
ASSESSOR'S PARCEL NO.: 1703273304200
Springfield
TYPE OF WORK:
TYPE OF USE:
Alteration
Residential
PROJECT DESCRIPTION:
Heat Pump
OWNER/APPLICANT:
BERRY LAWRENCE W & B A
1336 TAMARACK ST
SPRlNGFIELD OR 97477
MECHANICAL CONTRACTOR:
COMFORT FLOW 541-726-0100
1961 DON STREET #0
SPRINGFIELD OR 97477
CCB # 460 Expiration Date: 06/27/2003
Descriotion
Amount Paid
Date Paid
Receiot Number
+ 10% Administrative Fee
+ 7% State Surcharge
-Issuance Fee-
Heat Pump
Minimum/Adjustments - Mech
4.50
3.15
10.00
12.00
33.00
04/23/2003
04/23/2003
04/23/2003
04/23/2003
04/23/2003
2200200000000000771
2200200000000000771
2200200000000000771
2200200000000000771
2200200000000000771
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.
Reauired Insoections:
1 Final Mechanical: When all mechanical work is complete.
2 Rough Mechanical: Prior to Cover
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify
that all information hereon 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 pertaining to the
work described herein. I further certify 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 requested at the
properfiim€;itHat...eadJji~$al.i.sr.~keyfsg%the street, and that the approved set of plans, if applicable, will
rer~~fp~ ~\th~~ caqjQl1tea:ll6y the"i(j}~J$1tmJfU~n. (
~~~~~~:4~6~m~~~: tf I ~ -S ~
OWlOO~~ameWpfes of the rules by D~OTICE:
calling the ~ter. (Note: the telephon~ge 1 of 1 THIS PERMIT SHALL EXPIRE IF THE WORK
numberforth~ Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT
Center IS 1-800-332-2344)
. COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
MEC2003-00028
MEC2003-00028
MEC2003-00028
MEC2003-00028
MEC2003-00028
Payments:
Type of Payment
Check
Paid By
Description
Heat Pump
Receipt #: 2200200000000000771
Date: 04/23/2003
Minimum! Adjustments - Mech
~Issuance Fee~
+ 7% State Surcharge
+ 10% Administrative Fee
COMFORT FLOW
Received By
Check Number Confirm No
lkw
21735
Page 1 of 1
4/23/2003
t
1 :38:37PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
12.00
33.00
10.00
3.15
4.50
Line Item Total:
$62.65
How Received
Amount Paid
In Person
62.65
$62.65
Payment Total:
-
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