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HomeMy WebLinkAboutPermit Mechanical 2001-9-21 \, ..,- . I Job# 01-01036-01 I .~ Page 1 of 2 TRANS~:01-0006775 DATE:SEP 21 2001 ANT RECD:1 $ 80.00 CHANGE:$ 18.25 CASHIER:032 SPRINGFIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01036-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection line: 726-3769 location Of Proposed Site: 1036 laurel Ave Spr Assessors Map#: . 18020613 lot: Block: Addition: Tax lot #: 09204 Subdivision: Owner: Edward Carter 1036 laurel Phone Number: 541-747-3281 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Wood or Pellet Stove 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. Preliminary Inspection Freestanding Pellet Required Inspections I Mechanical I - Prior to the installation of solid fuel appliance which will be vented through an existing chimney. - After installation. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Mechanical 09/21/2001 6775 09/21/2001 6775 09/21/2001 6775 09/21/2001 6775 Value/Quantity Fee Amount Minimum Mechanical Permit Administrative Fee - Mechanical Freestanding Pellet Stove Mechanical Issuance 1,000 $15.00 $3.60 $30.00 $10.00 Ii . Job# 01-01036-01 . Page 2 of2 Fee Paid On Receipt# Mechanical 09/21/2001 6775 Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical Grand Total By signing this permiVapplication, I agree to call for an inspection(s) as required (726-3769). I state that all information on this application is correct. I further state that the appliance I am installing meets smoke emission standards as set by the Oregon Department of Environmental Quality or the Federal Environmental Protection Agency and I agree to provide the testing approval number to the inspector at the time of inspection. I al understand that if I am requesting a preliminary inspection, ~he~ff'ering m qu red to removed. /I'~;J () 9-t7-J~t$/ ( ignature / / Date $3.15 $61.75 $61.75