HomeMy WebLinkAboutPermit Mechanical 2001-8-24
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l Job# 01-00921-01 I
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Page 1 of2
TRANS#:01-0006527
DATE;AUG 24 2001
ANT 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: 01-00921-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1011 Pleasant St Spr
Assessors Map#: 17032641
Lot: Block: Addition:
Tax Lot #: 07000
Subdivision:
Owner:
Address:
Kent Cameron
1101 Pleasant St
Phone Number: 541-736-0919
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Heat pump
Contractor Type
Mechanical Contr
Contractor Registration # Expiration Date
Comfort Flow
1951 Don Street, Springfield, OR 97477
Phone
541-726-0100
Office Use f0.~
Land Use: # Of BUifdin"gl~~\(",\
\".. \~v
Zoning Code: Occu'panc~\Gtoup:
Cl\\(\" .....'-1\\ a.
Bedrooms: ~f.leat ~6urc~:\:()"
Range: ,.~. ~,,~\..\.. sq~Fo~tage?
....,\.\. j A ""l.'{' ....,'\.i\. :\'t"l'J
.~\,) \ ' . c-<:(.,~\' ,\~v- ~ ~'Q'(oo"
To request an inspection call the 24 hour recording at 726-3769:J"E insp.~C!ions,.fg,CIue~ed before 7:00
a.m. will be made the same working day. inspections requested'after0;90Ja.~:wil~be:..made the following
working day. 'to\)'\ -:.~J >:(~'(..
~~/ ,,'to~
R . d I .,.0 ~l\ V
eqUlre nspectlons ~'l, ,-
I Mechanical }'J
Quad Area:
# Of Units:
Constr. Type:
Water Her,tN:
Rough Mechanical
Final Mec:'anical
- Prior to cover.
-When all mechanical work is complete.
ou\o
\.,.\)\(,,=:fJ '1 \,)~\\~\~ l\
\' "Ie "a~,of' '\ ~Ol\~
"of' > . :)0' .~"~' Q\-
,\".O'{':'~"'o'\J~\;\ ~-.sc.\ ~S2"C
...-:,,\~\C. .~ >." 0.') 1.1 0;;'0 'as 'o'l
........\y,. rvJ, -\,,0'-' X\ I (\)\
f" ,1IU\CSr~ 'f\\Q~' ,~\'(\IO'C~ S 0\ ~i''3 \l~Of'e
# Of S . "0"0".,,, ,,' ,. ",G e\O . of'
tones: "c2Helgh!J(feet):\(\ CO.- . ~(\0~ .\\ce.\\
'Q\'~\ ','I"" ",,0; \ ~~. ~O\,
Current Units: \' O~'t'Propo,sed'Uni~:'O, ,\,\\\'1 A.".
\0 'fOu\' ,."", \\\.J ,,':)Iot-1'
Census Code: Does not apply;. ~"e c" Ole~o \ n;,? '
\l'" Cl).\\\i'() \01 \~().. \-\'.tl' ..
I ~31 'l'~
Total: f'U1i\ C.3f"~
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (';q. Feet)
Main: Accessory:
, .
Job# 01-00921-01 I
Paid On Receipt#
Mechanical
08/24/2001 6527
08/24/2001 6527
08/24/2001 6527
08/24/2001 6527
08/24/2001 6527
,/
Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Tct31
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Page 2 of 2
Value/Quantity Fee Amount
I
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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 Sl1311 be done in accordance with the Ordinances of the City of Springfield and the Laws of
the Slal~ of Oregon. I further state that only contractors and employees who are in compliance with
~ 70 t.055 will be used on this project. I further agree to ensure that all required inspections are
req estcd "tlh :lIf:oper lime and that the project address is readable from the street.
kY'\ ~J/i;\M lQ /
Signature
g):>{j 0 I
Date