HomeMy WebLinkAboutPermit Mechanical 2000-12-13
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Job# 00-01783-01
. Page 1 of 2
TRANS#:01-0004022
DATE:DEC 13 2000
AMT RECD:2$ 26.50
CHANGE:
CASHIER: 061
RESIDENTIAL PERMIT
, City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01783-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
,Inspection Line: 726~3769
location Of Proposed Site: 2099 Bonnie Ln Spr
. ,
Assessors Map#: 17032512
lot: Blo~k: Addition:
Tax lot #: 10600
Subdivision:
Owner:
Address:
Gilbert Hoag
2099 Bonnie Lane,
Phone Number: 541-741-3789
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
pellet stove
Contractor Type
Mechanical Contr
Contractor
Claxtons
215 E. 38th Ave, Eugene, OR 97405
Registration # Expiration Date
Phone
541-484-9583
Office Use
land Use: # Of Buildings:
Zoning Code: , Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage: "
, , AIT!;NTION'Oregon law reg UI res you to
To request an inspection call the 24 hour recording at 726-3769. All inspectio~ns IregUesteHc6Refo~elJ,.::0.oegOn Utility'
. h k' d" d f 7 p"o::..1I0lA1 r" t'~ Hllllp _IJ 'JII 'f' ,,", I,
a.m. will be made t e same wor 109 ay, inspections requeste a ter :1!J1!J''a.m..wrll'CDe ma e.J.I'ie ollOwlngresetforth
k' d " ' , Notification 'emer. I I lose IUlt:>:> '" .
wor 109 ay, in OAR 952-001-001 0 through OAR 952-001-
R . d I t' , . - '.A_'_ -~~:~~ ^~ +ho rllloc:: h\l
equl.re nspeclons(JU~U.lUI.lIIlc;4YV""''''''''v-I''''-,;--'' , .
Mechanical I calling the center. (Notue: .II~e tNelet.Pf.hOt~oen
numberfortheOragofl tllty 0 Ilca I
, , C,:mteris i-eDJ-332.~344).
Quad Area:
# Of Units:
Constr; Type:
Water Heater:
Freestanding Pelle..t
I
~After installation.
t,:~.:'t"";"~: ,~-...
Construction Types:
Occupa'ncy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
~Area, (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Height (feet):
Prol2osed Units:---~- - -_.
NOT'CE: .
THIS PERMIT SHALL EXPIREIFTHEWOR'i(
. AUTHORIZED UNDER THIS PERMIT 'IS NOT
----- "
I ~I UI.H1\n'-~lf .~. " ILl 1'-0.: 1\i0oi:1\1\1111 11\11-115-1 I.....
Fee'
Paid On Receipt#.l\!V 1 RnValuelQuantilty
oM. I JJ.l Y ..--r-rin II
Mechanical
12/13/2000 4022
Fee Amount
Minimum Mechanical Permit
$.00
Fee
Job# 00-01783-01
Paid On Receipt#
Mechanical
12/13/2000 4022
12/13/2000 4022
12/13/2000 4022
12/13/2000 4022
Page 2 of 2
Value/Quantity Fee Amount
Administrative Fee - Mechanical
Freestanding Pellet Stove
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 tie and that the project address is readable from the street.
A/;,{';- IJ) /\ rJrU- ' , /z-/?- ~ccl
Signature .f1 Date
1,350
$.45
$15.00
$10.00
$1.05
$26.50
$26.50