HomeMy WebLinkAboutPermit Mechanical 2001-8-6
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I Job# 01-00840-01 I
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Page 1 of 2
TRANS#:01-0006363
DATE:AUG 06 2001
AHT RECD:2 $ 61.75
CHANGE:
CASHIER: 003
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00840-01
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
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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
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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
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Signature Date
1
$3.60
$12.00
$10,00
$3.15
$61.75
$61.75