HomeMy WebLinkAboutPermit Mechanical 2002-11-20
City of Springfield
Mechanical Permit
Status: Issued
PERMIT NO.: MEC2002-00117
ISSUED: 11/20/2002
APPLIED: 11/20/2002
EXPIRES: 5/20/2003
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6785 ASTER ST
ASSESSOR'S PARCEL NO.: 1702344400407
Springfield
TYPE OF WORK:
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION:
Install Pellet Stove
OWNER! APPLI CANT:
MYERS JOSEPH
6785 ASTER ST
SPRINGFIELD OR 97477
MECHANICAL CONTRACTOR:
HOME CONSTRUCTION 541-536-7623
16500 SPRAGUE LP
LA PINE OR 97739
CCB # 152927 Expiration Date: 09/20/2004
Descriotion Amount Paid Date Paid Receiot Num ber Cashier
+ 7% State Surcharge 3.15 11/20/2002 1200200000000000273 llh
+ 8% Administrative Fee 3.60 11/20/2002 1200200000000000273 llh
~Issuance Fee~ 10.00 11/20/2002 1200200000000000273 llh
Minimum! Adjustments - Mech 15.00 11/20/2002 1200200000000000273 llh
Pellet Stove/Insert 30.00 11/20/2002 1200200000000000273 llh
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.
Reouired Insoections:
1 Pellet Insert: After installation
I
By Signature, I state and agrJe, that I have carefully examined the completed application and do hereby certify that all
infonnation hereon is true and cortect, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City ofSprihgfield and the laws of the State of Oregon pertaining to the work described herein. I
further certify that only contractor~ and employees who are in compliance with ORS 701.055 will be used on this project. I
further agree to ensure that all req~ired inspections are requested at the proper time, that each address is readable from the
I
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
j~I\~~~t' or;r6~~~~:~~i~~Y II~:U>-OZ-
Owii~?-t6~lffijtHRl6i8~ts[Jcl ofJ3 rJI~~ i:U~ ::stn IV! 1I Date
in OAR 952-001-001 0 hrouyh OAR 952-001-
0090. You may obtain copies of the rules by1 of 1
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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LICENSE 152927
NUMBER:
NAME: HOME CONSTRUCTION
ADDRESS: 16500 SPRAGUE LP LA PINE OR 97739-0000
WORK PHONE 5415367623
NUMBER:
LICENSE STATUS: Active
EXPIRATION 9/20/2004
DATE:
DATE FIRST 9/20/2002
LICENSED:
BOND COMPANy:~~EAT AMERICAN
BOND AMOUNT: $ 15000
BOND EFFECTIVE 9/20/2004
TO:
VIEW BOND VIEW CLAIMS
HISTORY HISTORY
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ASSOCIATED SPECIALIZED
NAMES TRAINING
ASSOCIATED LICENSES
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LICENSE DETAILS
ENTITY TYPE: Partnership
LICENSE General
CATEGORY: Contractor/All/HI
Exempt (Cannot
EMPLOYER Have Employees -
STATUS: Has No Workers'
Comp Coverage)
INSURANCE RED SHIELD INS
COMPANY: CO
INSURANCE $ 500000
AMOUNT:
INSURANCE
EFFECTIVE TO: 10/12/2003
VIEW INSURANCE
HISTORY
VIEW SIC CODES
OTHER CCB LICENSES
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11/20/2002