HomeMy WebLinkAboutPermit Mechanical 2001-1-1 (2)
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I Job# 01-00865-01
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00865-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1464 Quinalt St Spr
Assessors Map#: 17032532
Lot: Block: Addition:
Tax Lot #: 01200
Subdivision:
Owner:
Merrill Burge
1464 Quinalt
Phone Number: 541-747-0878
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Comfort Flow
1951 Don Street, Sprin9field, OR 97477
Registration # Expiration Date
Phone
541-726-0100
l\!OTICE:
Qua~h~~~~~R~.11T SHALL EXPIRE IF THE M~,~,\use:
# Of Units: Zonmg Code:
C ^IiTTurlQI7ED UNDER THIS PERMIT !"B. :'\d" II
onstr. . ype:' e rooms:
Wateit:ieaterSED OR IS ABANDONED F(Rilnge:
Office Use
l\Trr-i\ rnn.\ . '"'r.....nnn I '~\rJ rr~ld lir?~ VQ'J to
follow ~uICS "cio,J',"c: i'yl:W O,'eoon Uii!ily
f\!0tfyicai:Ll' f#'Off'B~irdiW~J:JI\'s cr8 .,2t fO~;'
in OAR O",'-l..) "llv ,,: UII'~ uh CAR 8,,2-001-
Occupancy Group:t' I by
0090. You m......y l,..:"'U.J.ll: ....~/J.....,.;.II 113 ru e:s
II' t' Heat-Source:.. t'ne tolcphonEl
co 1.19 11t \.....; ;l....,. \,'........... -..
number fOI~~b~q\jl9~Utdity Notification
I',I'~T IOU UJ-\l' t"l:nlvu. \J;;"II~.~II;" l-ovV-v";'~-GtJ_I'
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.
Rough Gas
Rough Mechanical
Final Gas
Final Mechanical
Required Inspections
I Mechanical I
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-When all gas work is complete.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ MaIO: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
5E .....
.....0::0
:J> :J>
::0 ..... :z:
rT1 rT1 ClJ
c-:J.-#
C":J '='D"
:D ..co
I I-L~~
t-i C") (q 0 0
m:r: .....00
;::ODe-- 0
.. ZI--Lf'-..JO'
om. au
t-I'-m-.Jo....o
I-l ... (.)11-'- CD
Total:
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Fee
Job# 01-00865-01
Paid On Receipt#
Mechanical
08/09/2001 6398
08/09/2001 6398
08/09/2001 6398
08/09/2001 6398
08/09/2001 6398
08/09/2001 6398
08/09/2001 6398
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Value/Quantity Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
50 hp -- 1,750,000 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.
1 $4.00
$29.00
$3.60
1 $12.00
$.00
$10.00
$3,15
$61.75
$61.75
Signature
Date