HomeMy WebLinkAboutPermit Mechanical 2002-5-20
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I Job# 02-00596-01 I
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
1
Page 1 of2
TRANS#:Ol-0009157
DATE:MAY 20 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 032
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-00596-01
225 Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4660 Franklin Blvd 36 ~ ~
Assessors Map#: 18030311
Lot: Block: Addition:
Tax Lot #: 02100
Subdivision:
Owner:
Address:
Ernie Ouge
4660 Franklin Blvd
Phone Number: 541-744-0753
City/State/Zip: Eugene, OR 97403
Addition Value: $0
Scope Of Work: Mechanical
Gas line
Contractor Type
Mechanical Contr
Contractor
Gas Appliance Service L1c
1512 W 2Nd Ave. Eugene, OR
97402-4131
Registration # Expiration Date
122409 1/30/2002
Phone
503-343-1159
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
I Mechanicali 1l::1~ i1IL;..I:Uf6<l.., .'.y . ...._
J ;;I ~ -. .'""'-t~,.ltl......;. 1'.)1..1 (0
Rough Gas -After line is installed and capped if'ii'b't'a'ti;a'ct\eil t\)lan1appliance,regon' Utility
Final Gas -When all gas work is complete. ~~otllicatlon Center. Those rules are set fon 1
In OAR 952-001-0010 through OAR 952-00',-
OlICE' 0090. .You may obtain copies of the rules by
N . calling the center (Note' the t I h
Construction iiftr.J,:pfRMIT SHAll EXPIRE IF THE WORK1umber forth~ Or~gon Uiility Neo~~c~t~~n
Occupancy Gr9WmORJZeD UNDER THIS PERMIT IS NOT Center IS 1-81)(1-332.2344).
# Of Buildings:COMMENCEO OR IS ABA~rflOO . Height (feet):
# Of BedroomshNY 180 DAY PERIOD. Current Units: Proposed Units:
Handicap Access? U Census Code: Does not apply
rArea (Sq, Feet)
Main: Accessory: Total:
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Job# 02-00596-01
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Page 2 of2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
05/20/2002 9157
05/20/2002 9157
05/20/2002 9157
05/20/2002 9157
05/20/2002 9157
1
$4.00
$41.00
$3.60
$10.00
$3.15
$61.75
$61.75
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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
Qquested at the 1Kti:~':d that the project address is readable from the street _I /
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