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HomeMy WebLinkAboutPermit Mechanical 2001-8-6 ...... .~ . I Job# 01-00840-01 I . Page 1 of 2 TRANS#:01-0006363 DATE:AUG 06 2001 AHT RECD:2 $ 61.75 CHANGE: CASHIER: 003 SPRINGFIELD ~. CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00840-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 471 Scotts Glen Dr Spr Assessors Map#: 17032713 Lot: Block: Addition: Tax Lot #: 08700 Subdivision: Owner: Bennie Moore 471 Scotts Glen Drive Phone Number: 541-726-9408 City/State/Zip: Springfield, OR 97477 Repair Value: $0 Address: Scope Of Work: Mechanical Installing Heat Pump 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, will 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? 0 ,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 08/06/2001 6363 Value/Quantity Fee Amount Minimum Mechanical Permit $33,00 ,.... . Fee Job# 01-00840-01 Paid On Receipt# Mechanical 08/06/2001 6363 08/06/2001 6363 08/06/2001 6363 08/06/2001 6363 . Page 2 of 2 Value/Quantity Fee Amount Administrative Fee - Mechanical Less than 100,000 BTU 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 the State of Oregon, I further state that only contractors and employees who are in compliance with 0501,055 will be used on this project. I further agree to ensure that all required inspections are re e ted at the proper time and that the project address is readable from the street. Atn i ~ ,( /.l nO 0 ) ex I (PI 0 I \ - - -- -' - - Signature Date 1 $3.60 $12.00 $10,00 $3.15 $61.75 $61.75