HomeMy WebLinkAboutPermit Mechanical 2002-4-25
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I Job# 02-00481-01 I
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TRANS#:01-0008722
DATE:APR 25 2002
AMT RECD:1 $ 100.00
CHANGE:$ 38.25
CASHIER:061
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:1. SPRINGFIBLD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00481-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1323 Kellogg Rd Spr
Assessors Map#: 17033422
Lot: Block: Addition:
Tax Lot#: 04100
Subdivision:
Owner:
Address:
Robert Rippee
1323 Kellogg Rd
Phone Number: 541-736-0239
City/State/Zip: Springfield, OR 97477
Repair Value: $0
Scope Of Work: Mechanical
Replace existing gas furnace
Contractor Type
Mechanical Contr
Registration # Expiration Date
.....~'"-:'l;...\
149452 1Q.12~005,t(\
,;l'" ~ ~'o t\-
eO: PJo ",e ~(;:) ,\
>lI~ 0\0 ~e b'!: r:,'Ql
,'1} ..'" ~'" <?-<ll ,\0 .
oJ" \'\" .;rOy... "~,-
Office Use O'~~ o'Q r:,e~ ,,"<:,- ~'S'e fV"<:'-o 'i/"o~
,:,,;. fV\.0 -<..."<:,-0 0\)'0;, 0 .~0 .s,c:a:
Quad Area: Land Use: .\\0' ,?>OO e\' (;:)'S'~ ~lll'Bf'BuJllIings:
# Of Units: Zoning Code: ^<(,.~ .~e"'C;e~'I. ~~'\ ',$'~~,,~b'l:cu~a. Rey Group:
:'\' .\ \" f:. t\- ~'l>' ,,>"v ,:-"" ,,':J
Constr. Type: Bedrooms: ~ ~o'" 'i/"O $;)~ o'Q e\'" o~~~t;Source:
Water Heater: Range: ,~,,~\~~ Q)':>~ ~'c~\,e~'l.O\e\"Sii: Footage:
, V' ,:;. ,-,. ~~ \,=,'
To request an inspection call the 24 hour recording at 726:37:6.g.(;:)~\'i~sP~~t!O~S requested before 7:00
a.m. will be made the same working day, inspections requested afte.r.~7:00;~.m. will be made the following
working day. ,,\>
Contractor
Phone
Automatic Heat / Eugene Heating
3675 FRANKLIN BLVD., EUGENE. OR
97403
541-726-7654
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Are.a (Sq. Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100.000 BTU
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
;j::~te~ a27 p;per tin an"..:; at the project address is readable from the street.
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Fee
Job# 02-00481-01 I
Paid On Receipt#
I Mechanical
04/25/2002 8722
04/25/2002 8722
04/25/2002 8722
04/25/2002 8722
04/25/2002 8722
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Page 2 of 2
Value/Quantity Fee Amount
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75