HomeMy WebLinkAboutPermit Mechanical 2002-8-15
.
I Job# 02-00990-01 I
. ,
SPRINQPIBLD
~.
.
tI--
Page 1 of 2
TcoNC'j>, 0 i -"C C),O"
l\.. ,J,t _'. '.1'__'.., ,
DATE' ri~S :'E :20C'L
(iMT RECD: 2 $ 6:..!5
CHAt',:i!:.
C!~8tilt.l\ ~ 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 936 River Knoll Way Spr
Assessors Map#: 17032344
Lot: Block: Addition:
Owner: Michael Shirley
Address: 936 River Knoll Way
Scope Of Work: Mechanical
Install AC
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don Street, Springfield, OR 97477
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Job Number: 02-00990-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 07600
Subdivision:
Phone Number: 541-726-9799
City/StatelZip: Springfield, OR 97477
New Value: $0
Registration # Expiration Date Phone
00460 6/27/2003 541-726-0100
NOTICE:
I nli:> t'tHIVIII :'HALL tAt'IHt IF THE WORK
AUTHORIZED UNDER THIS~J:RMIT IS NOT
L' "ENGED OR ,# Oaf BUI dIngs.
,"1.1 ,-' f\ AN IJI)l~nFnQ
" " 180 DAY PERIRBcupa cy Group:'
. Reat 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 ,,', ~,'l'",.;C 'U '
I Mechanical,..1 '-'I~Ie:~'~~~';(;d b\' th~ Or"i:on Lie':':,..,
-Prior to cover, lU~IU" t', n "'e~'l"', 1'1058 rules a..;; S3't ,0",
"'^"'ITlca ,0 v ,,~, ('en "0'
-When all mechanical work is cO~p'lele, R ge2.00'i-0010th'ougi1 OAR ~,)"-U ,~
lil uA ~ obt^in copiec ~ithz rul3S ...;
0090. You may" ~,., ilC
llino \he center. (Nota: the ~el~,~: 0 . ,
ca beriodhe Oregon Utiliiy .\!Oloilcatlon
nu:n r~"r'3L,)
C31,oT is .i-J:JO.~...':.-~ .-'.'
I......
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Are.a (Sq. Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Height (feet):
Proposed Units:
'.
o
Job# 02-00990-01
.
Page 2 of2
Value/Quantity Fee Amount
.
Fee
Paid On Receipt#
Mechanical
08/15/2002 10309
08/15/2002 10309
08/15/2002 10309
08/15/2002 10309
08/15/2002 10309
1
$33,00
$3.60
$12,00
$10.00
$3,15
$61.75
$61.75
Minimum Mechanical Permit
8% 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
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
r\~~~}:~ :;o\(] t~: a.:: t:e ::7 address is readable from the street.
Signature U
;z;; /(\/ C?2J\
I
Date