HomeMy WebLinkAboutPermit Mechanical 2000-11-27
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1 Job# 00-01718.01 I
tIt-
Page 1 of2
TRANS#:01-0003868
DATE:NDV 27 2000
AMT RECD'2 $ 26.50
CHANGE:
CASHIER:059
SPRINGFIELD I
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RESIDENTIAL PERMIT
City Of Springfield
Community Services DIVISion
BUlldmg Safety
Job Number 00-01718-01
225 North F,fth Street
Spnngf'eld, OR 97477
Office 726-3759
Inspection Lme 726-3769
Location Of Proposed Site 1455 Cheek St Spr
Assessors Map# 17032433
Lot Block Addition
Tax Lot # 00108
SubdivIsion
Owner
W,lI,am A Dingle
1455 Cheek St
Phone Number 541-746-6882
City/State/Zip Spnngfield, OR 97477
Alteration Value $2,900
Address
Scope Of Work Mechanical
Pellet Stove
Contractor Type
Mechan,cal Contr
Contractor
M,dgleys
1678 W 7th Ave, Eugene, OR 97402
Registration # Expiration Date
Phone
541-343-1131
OffIce Use
Quad Area Land u'~PTlCE: # Of BUild lOgs
II:!./C:"r-
# Of Umts Zonmg Code.RM/iSH Occupancy Group
Constr Type Bedr&iir\i~ 'OR/ZED 'ALL EXP/~E I/OTi Heat Source
Water Heater Ran (e0MMENCFn ~~D_ER iHIS Pf=:o. !Sq.:;FP,ptage
"'VY 180n~ ~ - 'IuABANOD^'r-.:: 1>:IIVOi
To request an Inspect,on call the 24 hour recording at 726Y3769"~ InspedlonsJr.eS\'IPsted before 7 00
a m w,ll be made the same working day, Inspect'ons requested after 7 00 a m will be made the follow,ng
work,ng day
Required Inspections
Construction Types
Occupancy Groups
# Of BUlldmgs
# Of Bedrooms
Handicap Access? D
,Area (Sq Feet)
I MaIO Accessory
'" f 0.1 Mechamcal I
-After InstallatlonU! v'V v'eel"
\j ....VI I ec:' d ... I:a!,!~~
ot/flcatlon c. a ODted bvth -qW'0S~'ou 1
'1 OAR eme' Ti .' €' Oreg C-
1090 If, 952-001_001 0 ~se rUles ar~n Utlllly
caffm~V may oblam c~ough OAR 9~~t fOrti,
'l"'llb - h@cenler IN P1asoflhe -001.
C'r., ole I.\. rul-~ ~
~# Of StQr.les "e laleph Height (feet)
" , CUOo Ur I I Dr.",
Current Umts ,~! I}' Nol1ftcatPrOposed Units
j ...,J",'" Ion
Census Code Does not1apply
Pellet Insert
Total
Fee
Paid On Recelpt#
Mechanical
11/27/2000 3868
Value/Quantity
Fee Amount
Minimum Mechanical Perm,t
$ 00
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Job# 00-01718-01
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Page 2 of2
Value/Quantity Fee Amount
Fee
Paid On Recelpt#
Mechamcal
11/27/2000 3868
11/27/2000 3868
11/27/2000 3868
11/27/2000 3868
2,900
$ 45
$1500
$10 00
$105
$26 50
$26 50
Mechanical Admlnlstrat,ve Fee
Pellet Insert
Mechan,eallssuance
State Surcharge For Meehan,eal Perm,!
Total Mechamcal
Grand Total
By s'gnature, I state and agree that I have carefully examined the completed appl,cat,on and do
hereby certify that all information herein IS true and correct, and I further eert,fy that any and all work
performed shall be done In accordance with the Ordinances of the City of Spnngfleld and the Laws of
the State of Oregon I further state that only contractors and employees who are In compliance w,th
ORS 701 055 w,lI be used on this project I further agree to ensure that all requ,red Inspect,ons are
requested at the proper t'~e and that the project address IS readable from the street
ANAL C=tLJ[ )1-;)7- ad
Signature () J Date