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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