HomeMy WebLinkAboutPermit Mechanical 2001-4-9
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Job# 01-00341-01
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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.
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Signature D
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Date