Loading...
HomeMy WebLinkAboutPermit Mechanical 2000-3-1 '- -. I Job# 00-00333-01 I Page 1 of 2 . TRAN8#:01-0000787 DATE:MAR 01 2000 AMT RECD:1 $ 26.50 CHANGE: CASHIER: 059 . CITY OF SPRINGFIELD, 'OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00333-01 . 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3497 Hayden Bridge Rd Spr .Assessors Map#:17021942 Lot: Block: Addition: Tax Lot #: 05100 Subdivision: Owner: Jim and Audry Talley 3497 Hayden Bridge Rd Phone Number: 541-747-4105 City/State/Zip: Sprfngfield, OR 97477 New Value: $0 Address: Scope Of Work: Mechanical Contractor Type Contractor MechanicalContr ' Comfort Flow Heating Co 1951. Don 'St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6/27/1999 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. will be made the following working day. . Required Inspections Mechanical J Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: " . ~ \. '" Fee . Job# 00-00333-01 I Paid On Receipt# Mechanical 03/01/2000 787 03/01/2000 787 03/01/2000 787 03/01/2000 787 Page20f2 Value/Quantity Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee Mechanical Issuance State Surcharge For Mechanical Permit 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 the uregG.(I. I further state that only contractors and employees who are in compliance with o 7 .055 will 'e used on this project. I further agree to ensure that all required inspections are r. que ed at the oper time a that the project address is readable from the street. erG ,3--/-co $15.00 $.45 $10.00 $1.05 $26.50 $26.50 Date