HomeMy WebLinkAboutPermit Mechanical 2001-9-21
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. I Job# 01-01036-01 I
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Page 1 of 2
TRANS~:01-0006775
DATE:SEP 21 2001
ANT RECD:1 $ 80.00
CHANGE:$ 18.25
CASHIER:032
SPRINGFIELD
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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
$10.00
Ii
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Job# 01-01036-01
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Page 2 of2
Fee
Paid On Receipt#
Mechanical
09/21/2001 6775
Value/Quantity
Fee Amount
State Surcharge - Mechanical
Total Mechanical
Grand Total
By signing this permiVapplication, I agree to call for an inspection(s) as required (726-3769). I state
that all information on this application is correct. I further state that the appliance I am installing
meets smoke emission standards as set by the Oregon Department of Environmental Quality or the
Federal Environmental Protection Agency and I agree to provide the testing approval number to the
inspector at the time of inspection. I al understand that if I am requesting a preliminary inspection,
~he~ff'ering m qu red to removed.
/I'~;J () 9-t7-J~t$/ (
ignature / / Date
$3.15
$61.75
$61.75