HomeMy WebLinkAboutPermit Mechanical 2001-1-29
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SPRINGFIELD
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Job# 01-00077 -01 I
e:-
Page 1 of2
TRANS#:01-Q004330
DATE:JAN 29 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield. OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00077-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1109 Linda Ln Spr
Assessors Map#: 18020400
Lot: Block: Addition:
Owner:
Address:
Gary Tripp
1089 Linda Lane
Scope Of Work: Mechanical
insert
Contractor Type
Mechanical Contr
Tax Lot #: 01502
Subdivision:
Phone Number: 541-741-3852
City/State/Zip: Springfield, OR 97478-5426
New Value: $0
Contractor
Midgleys
1678 W 7th Ave. Eugene. OR 97402
Phone
541-343-1131
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration # Expiration Date
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. p,-1I.insl1ections requested before 7:00
a.m. will be made the same working day, inspections requested after"7!o'O"a':"ni. will beLmade,lhe1followingJRK
working day. THIS PERMIT SHAL t:At"IHt: r '''....
. . l>IIJHnRIZEDUNDERTHISPERMITISNOT
Required Inspectlo~;: OR IS ABANDUNI:U run
. vvrJMENCED
Mechanical J Y PERIOD
ANY 180DA .
Rough Gas
Insert
Final Gas
-After installation.
- When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. r ~~l)
I Main: Accessory:
ATTENTlcr\:~~32rY'\ !e.I.\'~~qUtrgs Vo~ ~o
follow rulss odoQteci ':JV theOrepon Utlhty
# Of Stories: Notilical!t\l!g}~.t:(f!l.et):lOS€ rules are set forth
Current Units: in OAR cProposealUnits;lUgh OAR 952-001-
Census Code: Does nQ,t:apPIY.;;'; may obtain copie~ of the rules by
calling Ih!! CSrIl.::lI. \I\jota:(natsle'pho~e
Total: I nUlllb0donh<l Orogon Gtlhly Notification
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Job# 01-00077-01
Paid On Receipt#
Mechanical
01/29/2001 4330
01/29/2001 4330
01/29/2001 4330
01/29/2001 4330
01/29/2001 4330
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Page 2 of 2
Fee
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Gas Fireplace
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$10.50
$.45
$4.50
$10.00
$1.05
$26.50
$26.50
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 01.055 will be used on this project. I further agree to ensure that all required inspections are
requ sted at the proper time and that the project address is readable from the street.
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