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HomeMy WebLinkAboutPermit Mechanical 2000-5-12 Job# 00-00713-01 Page 1 of 2 TRANS#:01-0001720 DATE:MAY 12 2000 AMT RECD:2 $ 53.00 CHANGE: CASHIER: 003 SPRINGFIELD ~~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00713-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 472 Oakdale ST Spr Assessors Map#: 17032242 Lot: Block: Addition: Tax lot #: 02200 Subdivision: Owner: Lesue McAdams 472 Oakdale St Phone Number: 541-746-0662 City/State/Zip: Springfield, OR 97477. Alteration Value: $0 Address: Scope Of Work: Mechanical GAS SERVICE AND APPLIANCES Contractor Type Mechanical Contr Contractor American as Appliance SerVice 618 Hamilton Street, Springfield, OR 97477 Registration # . Expiration Date Phone 541-954-4686 Quad Area: #Of Units: Cons~r. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 wo~ngday. ' Required Inspections Mechanical J Rough Gas Rough Mechanical Gas Service Final Mechanical - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te~ - When all mechanical work is complete. . I Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0' -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Job# 00-00713-01 Page 2 of 2 ., Fee Paid On Receipt# Mechanical 05/12/2000 , 05/12/2000 05/12/2000 05/12/2000 05/12/2000 Value/Quantity Fee Amount One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Mechanical Issuance State Surcharge For Mechanical Permit , Total Mechanical Gran.d Total By signature, 1 state and agree that I have carefully examined the completed application and do hereby ce,rtify that all information herein is true and correct, and 1 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. .1 further state that only contractors and employees who are in compliance with ORS 701.055 wil be used on this project. I further agree to ensure that all required inspections are req~~;.ted at th Rroper time and that the project address is readable from the street. ~.~ .. ..' <5-/Z-t1-D Signature Date 1 $2.00 $13.00 $.45 $10.00 $1.05 $26.50 $26.50 -',it