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HomeMy WebLinkAboutPermit Mechanical 2000-2-7 I:! .~ ~ -. ..-. iJob#OO-O0206-01i Page 1 of 2 TRANS#:01-0000482 DATE:FEB 07 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 SPRINGFIELD -w.:~ 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: " ~ .' . . ; Fee Job# 00-00206-01 Paid On Receipt# I'" Mecnanlcal 02/07/2000 482 02/07/2000 482 02/07/2000 482 02/07/2000 482 02/07/2000 482 Page 2 of2 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. iJ,A~ Ju~ / oJ 2/)/0<> Date" Signature