HomeMy WebLinkAboutPermit Mechanical 2001-8-14
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I Job# 01-00874-01 I
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Page 1 of 2
TRANS#:01-0006415
DATE:AUG 14 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 061
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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
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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