HomeMy WebLinkAboutPermit Mechanical 2000-11-13
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SPRINGFIELD
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I Job# 00-01660-01 I
Page 1 of 2
TRANS#:01-0003764
DATE:NDV 13 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01660-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
*
Location Of Proposed Site: 1085 Laurel Ave Spr
Assessors Map#: 18020613
Lot: Block: Addition:
Tax Lot #: 10300
~ubdivision:
Owner:
Sandy Hathaway
1085 Laurel Avenue
Phone Number: 541-744-2122
City/State/Zip: Springfield, OR 97478
New Value: $700
Address:
Scope Of Work: Wood or Pellet Stove
antique wood 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.
Wood Stove
I
-After installation.
AITEN 11()IIl:lireg('i "a':' :~4..:re!; you,
Required Inspectionlbllow rUle~CtUuI-Jl"'U UJ ..", '::;'v>jv" ~:::::)
Mechanical No~fication Center. Those rules are set forti,
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregol1 Utility Notification
Center;~ 1-RI"'!;I#'=i32-2344).
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
"
# Of Stories:
Current Units:
Census Code: Does not apply
,.,
Height (feet):
Proposed Units:
Total:
NOTICE:
Fee
Paid On Reb'i!i~t'#ERMITVM8Md~i~~titY It- I HrF~ev.6J\lount
r-- Mechanical/"'\V I nvn~_U UI\JUt:.M I nl\:) rcnlVlI1 '0\:> I\lV I
11/13/2000 376'llIVlMEI~CED OR IS ABANDONED FOR $.00
11/13/2000 37,eflIY180DAYPERIOD. $.45
11/13/2000 3764 700 $15.00
11/13/2000 3764 $10.00
Minimum Mechanical Permit
Mechanical Administrative Fee
Wood stove
Mechanical Issuance
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Job# 00-01660-01
Fee
Paid On Receipt#
Mechanical
11/13/2000 3764
Page 2 of 2
Value/Quantity Fee Amount
l
State Surcharge For Mechanical Permit
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 also understand that if I am requesting a preliminary inspection,
the wall cove~ may be r~~J to b~9#ved. )
~~~~~~ /~//fha
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$1.05
$26.50
$26.50