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HomeMy WebLinkAboutPermit Mechanical 2001-4-9 -.. ., ...110. . Job# 01-00341-01 , ,. ~ Page 1 of 2 TRANS#:Ol-0004874 , DA TE : APR 09 2001 AMT RECD:2 $ 16.50 2 $ 10.00 CHANGE: CASHIER: 003 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00341-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 575 Cityview Blvd Spr Assessors Map#: 17033414 Lot: Block: Addition: Tax Lot #: 04300 Subdivision: Owner: Meg Kieran Phone Number: 541-741-4174 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: 575 City View Scope Of Work: Mechanical Installing gas service and connecting to range and gas f.p. Contractor Type Mechanical Contr Contractor Midgleys 1678 W 7th Ave, Eugene, OR 97402 Registration # Expiration Date Phone 541-343-1131 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. Required Inspections 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 tel -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) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . -";;' Fee Job# 01-00341-01 I Paid On Receipt# r-- Mechanical 04/09/2001 4874 04/09/2001 4874 04/09/2001 4874 04/09/2001 4874 04109/2001 4874 04/09/2001 4874 One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Gas Fireplace Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total Page 2 of 2 Value/Quantity Fee Amount 1 $2.00 $8.50 $.45 $4.50 $10.00 $1.05 $26.50 $26.50 By signature, I state and agree that I 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 and that the project address is readable from the street. (./7.' t'.. l ' . /!..1/~/ (, f.AA//P" - Signature D f~7-0/ Date