HomeMy WebLinkAboutPermit Mechanical 2002-10-4
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Status: Issued
225 Fifth Street ; " ' -' ." v,E!':), C:'.., aqLJil'eS you IL
S . gfi Id 0 97477 f~I~?"V i:.J!:;S c;(:JP'1sC: 0l',hc Ordoon lilili' ,
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541-726-3759 Phone ,.' ',,;_1. ;;'0,181. 'nosr-ruJesaresel'io,i
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541-726-3676 Fax 0'''0 y, '.. ' " noJ.-.
. Vy,' 0[, may obtah1 COfJlSE 01 th'" .ul"" b
541-726-3769 InspeCtion~~~~~r :1CCei1!er (Nota: thG tel;Pho~; ..
SITE ADDRESS' . '--3'2'6"0' "'.e, V'ttyur ulllll)' .\!otiiication
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ASSESSOR'S PARCEL NO.: 1703221320300
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PROJECT DESCRIPTION: Install Heat Pump System
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City of Springfield
Mechanical Permit
PERMIT NO.: MEC2002-00101
ISSUED:
APPLIED: 10/4/2002
EXPIRES: 4/4/2003
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
MECHANICAL CONTRACTOR:
COMFORT FLOW
OWNER/APPLICANT:
BAKER GREG T & TRACY J
3260 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
CCB # 460
Descriotion
Amount Paid
Expiration Date: 06101/2003
Boiler/Comp 3- I 5 HP
Minimum/Adjustments -
-Issuance Fee-
+ 7% State Surcharge
+ 8% Administrative Fee
12.00
33.00
10.00
3.15
3.60
Date Paid Reeeint Numher Cashier
10104/2002 1200200000000000015 dim
10104/2002 1200200000000000015 dim
10104/2002 1200200000000000015 dim
10104/2002 1200200000000000015 dim
1010412002 1200200000000000015 dim
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.
Reouired Insoections:.
1 Final Mechanical: When all mechanical work is complete.
2 Rough Mechanical: Prior to Cover
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certifY that all
infonnation hereon is true and correct, and I further certifY that any and all work perfonned shall be done in accordance with
the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certifY 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 requested at the proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction,
\ ~ ~nUV\/~i_O \~i\I\~'I\;!; 161 L-j (rn-
Owner or Conna&1S Ignan'rre THIS PERMIT SHALL EXPIRE d?ffiE WORK
AUTHORIZEd U\~dER THIS PERMIT IS NOT I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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City of Springfield
Mechanical Permit
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00101
10/4/2002
10/4/2002
4/4/2003
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
3260 RALEIGHWOOD AVE
1703221320300
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION:
Install Heat Pump System
OWNER! APPLICANT:
BAKER GREG T & TRACY J
3260 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
MECHANICAL CONTRACTOR:
COMFORT FLOW 541-726-0100
1961 DON STREET #0
SPRINGFIELD OR 97477
CCB # 460 Expiration Date: 06/27/2003
Descriotion
Amount Paid
Boiler/Comp 3-15 HP
Minimum! Adjustments -
-Issuance Fee-
+ 7% State Surcharge
+ 8% Administrative Fe
12.00
33.00
10.00
3.15
3.60
Date Paid Receint Number: Cashier
10/04/2002 1200200000000000015 dim
10/04/2002 1200200000000000015 dim
10/04/2002 1200200000000000015 dim
10/04/2002 1200200000000000015 dim
10/04/2002 1200200000000000015 dim
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.
Reouired Insoections:
1 Final Mechanical: When all mechanical work is complete.
2 Rough Mechanical: Prior to Cover
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify
that all information hereon 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 pertaining to the
work described herein. I further certify 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 requested at the
proper time, that each address is readable from the street, and that the approved set of plans, if applicable, will
remain on the site at all times during construction.
Owner or Contractors Signature
Date
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