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
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