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HomeMy WebLinkAboutPermit Mechanical 2001-8-14 -.. '. . . I Job# 01-00874-01 I .- Page 1 of 2 TRANS#:01-0006415 DATE:AUG 14 2001 AMT RECD:2 $ 61.75 CHANGE: CASHIER: 061 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01,00874,01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 820 Rayner Ave Spr Assessors Map#: 17033311 Lot: Block: Addition: Tax Lot #: 00414 Subdivision: Owner: Karen Jones Phone Number: 541,726-0757 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: 820 Rayner Ave Scope Of Work: Mechanical Install air conditioning 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: . ^, I. " .-"nl".... ,.... Tilt': I^If'OV 1;/'_' ~.II Ii IHU..Lo-.'" ...-.. ...- ..:...... To request an inspection call the 24 hour recording at 726,3769, AlhiD~P.ltqt!p_n~J~qH~~!I?~:Q~..fqr~J7,::,O,O IS NOT a,m, will be made the same working day, inspections requested after ,7:.00 a,m:.will(jbe Ifl)ade. theofollowing R working day, C \ ,\ '., :'\!L,;cJ H::; Atl,,'~U 1~t:U r", , , A,W H"J DAY PERIOD. ReqUired Inspections Mechanical I Rough Mechanical Final Mechanical ,Prior to cover. ,When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: f-,-;-'~E;VTIC,'<:2j."gon I:'I.~.' roc:uircB YO'J to fol,QVJ r Jles c.~o:lIGd Icy l;iJ Uiellon LJdlity Not'iication r,e~1('r, ',,105: r~IJS 8:'e 50t forti1 , OAR n'? '-I" f1 '1 ~ \' . I OAR ("'2001 # Of Stories: In 'Height'(fee't):~' 'lro,;g 1 .'~;)' - C t U 'ts 0090, vp!'>u m;:;v jJ!"!U'f11.ntsCCfJlaS o'1111c rules by urren m : II' rOp'oseu. m : t lh t i h ca 1I11:;! l"t~ C;JIllUf. \I~\J c: e e ep one Census Code: Does not aRI3!Ylbar for the Oiego,1 Util!ty Notific&tion Cem~r is 1-80U-:):;2.2344). Total: . Job# 01-00874-01 . Page 2 of 2 Value/Quantity Fee Amount I Fee Paid On Receipl# Mechanical 08/14/2001 6415 08/14/2001 6415 08/14/2001 6415 08/14/2001 6415 08/14/2001 6415 1 $33,00 $3.60 $12.00 $10.00 $3,15 $61.75 $61.75 Minimum Mechanical Permit 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 requested at the proper time and that the project address is readable from the street. Signature Date