HomeMy WebLinkAboutPermit Mechanical 2000-2-7
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iJob#OO-O0206-01i
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TRANS#:01-0000482
DATE:FEB 07 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00206-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2341 ClEARVU IN Spr
Assessors Map#: 17032712
Lot: Block: Addition:
Tax Lot #: 04200
Subdivision:
Owner:
Address:
MIGUEL RIVERJA
2341 CLEARVIEW
Phone Number: 998-314-3
City/State/Zip: SPRINGFIELD, OR 97477
Alteration Value: $3,841
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Marshalls Oil and Insulation
4110 Olympic Street, Springfield, OR
97478
Registration # Expiration Date
Phone
Quad Area:
# Of Units:
Constr. 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
working day,
Wood Stove
Final Gas
Final Mechanical
Required Inspections
I Mechanical
-After installation,
-When all gas work is complete.
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
" ~
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.
;
Fee
Job# 00-00206-01
Paid On Receipt#
I'" Mecnanlcal
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Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Woodstove Insert
Mechanical Issuance
State Surcharge For Mechanicai Permit
Total Mechanical
3,841
$.00
$.45
$15,00
$10.00
$1.05
$26.50
$26.50
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all inform~tion 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 and that the project address is readable from the street.
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Date"
Signature