HomeMy WebLinkAboutPermit Mechanical 2002-9-12
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I Job# 02-01098-01 I
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Page 1 of2
TRANS~:01-0010587
DATE:SEF' 12 2002
AMT RECD:2 $ 123.50
CHANGE:
CASHIER: 032
SPRINQFIELD
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01098-01
225 Fifth Street
Springfield, OR 974(7
Office: 726~3759
Inspection Line: 726-3769
Location Of Proposed Site: 898 Lochaven Ave Spr
Assessors Map#: .17032724
Lot: Block: Addition:
Tax Lot #: 08700
Subdivision:
Owner:
Linda Anderson
898,Lochaven
Phone Number: 541-746-0787
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Marshalls Inc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
25790
Expiration Date
12/23/2003
Phone
541-747-7445
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.
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete,
" 1,-" '. . .,-,,,:Ulegon law requires you ~o
follow rules adopted by the Oregon Utility
:\!otification Center. Those rules are set forth
in OAR 952-001-001 0 thro~gh OAR 952-001-
'~090, You may obtain copies of the rules by
calli~g the center, (Note: the tel~~ho~e
numb~r for the Oregon Utility Notification
(;qnleiis 1-800-332-2344).
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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I Job# 02-01098-01 I
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Page 2 of2
Street Improvement':
,
Curb Cut?D . Improvement Agr.?D
.'
San Sewer Depth (Ft):
Storm Sewer Availa:ble? 0
Special Req.:
Security Required: "
Bond Begin DateTime: 00/00/000000:00:00'
Special Instructions:
:,
Other Utilities: "
Project Supervisor: :,'
Sidewalk Type:
Additional ROW? 0
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
00/00/000000:00:00 '
Types Of Warning Devices Reqd.
Zoning:
FloodPlain? 0 ''Wetlands? 0
,
Journal numbeis
,
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway? 0
3:
Planner:
Urban Growth Bouridary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
"
Construction Types:
Occupancy Groups:'
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. r, ,1) ,
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
09/12/2002 10587
09/12/2002 10587
09/12/2002 10587
09/12/2002 10587
09/12/2002 10587
Value/Quantity
Fee Amount
Minimum Mechanic,\1 Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
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
r#~;~hat the project address is readable from the street.
Sill1iature / :
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