HomeMy WebLinkAboutPermit Mechanical 2001-9-6
Job# 01-00967-01
Page 1 of 2
TRANS#:Ol-0006623
DATE:SEP 06 2001
AMi RECD:2 $ 61.75
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00967-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 2634 Wayside Ln Spr
Assessors Ma;p#: 17032244
lot: Block: Addition:
Tax lot #: 02800
Subdivision:
Owner:
Don Bowden
2634 Wayside Lane
Phone Number: 541-741-0592
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Install air handler
Contractor Type
Mechanical Contr
Registration # Expiration Date Phone
o~\~~,\ 541-726-0100
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o~ 0"''0 ~ '0' a 9)".) e'='
(0Q) ",:\" ,,\~a....b3' "JI e
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~\ "Ji re~ ~() ReafSouorce:~o
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Range: \0'\.. . CJ'O-\~ ......W'iS ,I O~Sg: \Fo~tag~n,'2)
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To request an inspection call the 24 hour recording at 726-3769. '~II.ir:lsp~gti6'n~ re.<fuesttfc1~before 7:00
a.m. will be made the same working day, inspections requested afte~7~.(j~a~'Q)..\Wi~~pe"fnade the following
working day. ~~'O (je
~
Contractor
Comfort Flow
1951 Don Street, Springfield, OR 97477
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
o~'t--
,'(\~ \N 0'
R-.\:-. \l( i\ \S ~
~ ~\.. \:-.i-<?'\ <?~~~\ l(O~
.:l.)1;\C ~~\\ S'(\~ r;;.~ ,'(\\S O~\:-.\)
# Of Sto~fes:c VV:,.\(,. <,J'\ \J~\j l;IeigtHt~feet):
'i\--\\." 'i:L.'C.v \~ r'
Current Units:~\,\a10 \,..~~":) O~ P6~posed Units:
Census COd~'YDp~s~nofap'pIY;'~'\
,..r:~~'\~'. ~)~" '
V' I \'0\.:'
~~'~
Total:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Accessory:
Fee.
-
Job# 01-00967~01
Paid On Receipt#
Mechanical
09/06/2001 6623
09/06/2001 6623
09/06/2001 6623
09/06/2001 6623
. 09/06/2001 6623
Page 2 of 2
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
10,000 Cubic Feet or Less
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
th~State of Oregon I further state that only contractors and employees who are in compliance with
dR5 701 055 w II e used on this project. I further agree to ensure that all required inspections are
i~e~' lh:. puoer "me and that the project address is readable from the street. q ~ 101
. -
Signature. Date
1
$37.00
$3.60
$8.00
$10.00
$3.15
$61.75
$61.75