HomeMy WebLinkAboutPermit Mechanical 2002-1-2
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Job# 02-00002-01
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Page 1 of2
TRANS~:01-0007663
DATE: JAN 02 2002
AMT REeD:l $ 65.00
CHANGE:$ 3.25
CASHIER:003
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00002-01
225 North Fifth Street
Springfield,OR.97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1561 Kelly Blvd Spr
Assessors Map#: 17032741
Lot: Block: Addition:
Tax Lot #: 03500
Subdivision:
Owner:
Address:
Tommy Hooker Jr
826 Jannette Court
Phone Number: 541-741-8826
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Pellet insert
Contractor Type
Mechanical Contr
Contractor
Marty Lewis Hopkins
16500 Sprague Loop, La Pine, OR 97739
Registration #
120674
Expiration Date
2/27/2003
Phone
541-536-7623
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source: Wall Heat
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.
Pellet Insert
I
-After installation.
Required Inspections
Mechanical
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
Paid On Receipt#
Mechanical
01/02/2002 7663
Value/Quantity
Fee Amount
Minimum Mechanical Permit
$15.00
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Fee
Job# 02-00002-01
Paid On Receipt#
Mechanical
01/02/2002 7663
01/02/2002 7663
01/02/2002 7663
01/02/2002 7663
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Page 2 of 2
Value/Quantity Fee Amount
Administrative Fee - Mechanical
Pellet Insert
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 aDd 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.
r ___--' ~ t!--. /- o.J.. - o:J.
1,000
$3.60
$30.00
$10.00
$3.15
$61.75
$61.75
Signature
Date