HomeMy WebLinkAboutPermit Mechanical 2001-3-1
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I Job# 01-00186-01 I
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Page 1 of 2
TRANS#:01-0004585
DATE:MAR 01 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01.00186.01
225 North Fifth Street
Springfield, OR 97477
Office: 726.3759
Inspection Line: 726-3769
Location Of Proposed Site: 1837 Rqmbling Dr Spr
Assessors Map#: 17032521
Lot: Block: Addition:
Tax Lot #: 01600
Subdivision:
Owner:
Carol McMahan
1837 Rambling Dr
Phone Number: 541.747.6370
City/State/Zip: Springfield, OR
New Value: $0
Address:
Scope Of Work: Mechanical
Heat pump and Ductwork
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Sprin9field, OR
97477-1993
Registration # Expiration Date
460 6/27/2001
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 inspeetions 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,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r ..1)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
03/01/2001 4585
03/01/2001 4585
03/01/2001 4585
03/01/2001 4585
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
1
$9,00
$.45
$6,00
$10.00
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Job# 01-00186-01
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Page 2 of2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
03/01/2001 4585
$1,05
$26.50
$26.50
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
?M~h~~~e:Oject address is readable from the street. ~(
Signature - Date