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HomeMy WebLinkAboutPermit Building 2000-3-21 \...' ".' Job# 00-00436-011 .f "v Page 1 of 2 TRANS#:Ol-0000996 DATE:MAR 21 2000 AMT RECD:1 $ 50.00 CHANGE:$ 7.00 CASHIER:059 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00436-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 I Inspection Line: 726-3769 Location Of Proposed Site: 2575 CASTLE Dr Spr Assessors Map#: 17032333 Lot: Block: Addition: Tax Lot #: 05000 Subdivision: Owner: NICK SIECINCKI Phone Num'ber: 541-726-5458 Address: 2575 CASTLE DR ,. f~\j;~:~~:~~M&b5prm~f5~h~fjd;:g~a~hTib, OR'97477 Scope Of Work: Miscellaneous l\!otlflcatr<Mt€n.al!il:18r. Those rules are~PfOrth$O . ~n OAR 952~001-001 0 through OAR 952-001,- NEW GAS APPLIANCES w~&~~l~~~b~rl~~~~~~~~rse;:~~~ by nom2~r~~~th~ Ore(]on Utility Notification t.t?ntsr rs "1-Rnn-~~?-2344) Land Use: "- --," # Of Buildings: Zoning Code':" 'H ; ',. Occupancy Group: Bedrooms: Heat Source: Range: Sq. Footage: Quad Area: # Of Units: Constr. Type: Water Heater: To request an inspection call the 24 hourrecolQ1qg,..~b716-3769. All inspections requested before 7:00 a.m. willbe made the same working day, inspe~\iOM\fi6E1~ested after 7:00 a.m. will be made the following working day. THI~~IiE_RMIT~HAbl~XPIR~IFTH~WORK ^~Ef~FIJI~~lHi;; t=t:Hivi'll It; NUT le()MM~rKbi~ ISABANDONEO FOR Final Plumbing - When. all plumbingf\J)6rn8fsta~M~~~Og, Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical "Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te~ - When all gas work is complete. - When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: , Total: . Job# 00-00436-01 Page 2 of 2 v Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee 03/21/2000 996 $.00 State Surcharge For Plumbing Permit 03/21/2000 996 $1.05 Miscellaneous Plumbing 03/21/2000 996 15 $15.00 Plumbing Administrative Fee 03/21/2000 996 $.45 Total Plumbing $16.50 Mechanical One to Four Outlets 03/21/2000 996 1 $2.00 Minimum Mechanical Permit 03/21/2000 996 $2.50 Mechanical Administrative Fee 03/21/2000 996 $.45 Less than 100,000 BTU 03/21/2000 996 1 $6.00 ApplianceVent (Not Covered in SchedulE 03/21/2000 996 1 $4.50 Mechariicallssuance 03/21/2000 996 $10.00 State'Surcharge For Mechanical Permit 03/21/2000 996 $1.05 Total Mechanical $26.50 Grand Total $43.00 By signature, I state and agree thatl 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 time, that the project address is readable from the street, that the permit card is located at the fro f the property, arnd e approved set of plans will remain on the site at all times' during constru 10..... , '. ' 2 ( 00 ' .", "5- ~ ~ , , Date