HomeMy WebLinkAboutPermit Mechanical 2001-8-8
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I Job# 01.Q0849.Q1 I
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Page 1 of 2
TRANS#:01-0006381
DATE:AUG 08 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 3818 Long Ridge Dr Spr
Assessors Map#: 18020613
Lot: Block: Addition:
Owner: Hayden Homes
Address: 3258 Pinyon Street
Scope Of Work: Mechanical
Freestanding pellet stove
Job Number: 01-00849-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 09900
Subdivision:
Phone Number: 541-744-6966
City/State'Zip: Springfield, OR 97478
New Value:
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Office: 726-3759
Alnspection Line: 726-3769
I I ENTION'Orego I
follow rules ado I d n aw requires you to
Long Ridge Dr Spr NOlificalion Cent~ ~h by Ihe Oregon Ulility
in CTax!L:ot #:'1_(,09900,>se rules are sel forth
009"" - ~ v I v lItrough OAR 952 0
Addition: ~~!-1!fcl~yision:blain cODie~ nf th~ .. ..~, ~1-
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Phone Numoe'r''l1t541-736-550i 0 e: Ihe lelephone
, SC~ntfi~~~I'd.~io"'..R~109n74U~8'ilY NOlificalion
City'State'Zip: pring Ie, ' I, 2344).
New Value: $0
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 3818
Assessors Map#: 18020613
Lot: Block:
Owner:
Address:
Chris Odell
3818 Long Ridge Dr
Scope Of Work: Mechanical
Freeslanding pellel stove
Contractor Type
Mechanical Contr
Contractor
Midgleys
1678 W 7th Ave, Eugene, OR 97402
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Job Number: 01-00849-01
~In-,o-
Registratlon.# Expiration Date Phone
THIS PERMIT SHALL EXP/RE:5fF1f~1:3wo~k
AUTHORIZED UNDER THIR PI=RWT It' .."op
{;OMM:::NCED OR IS ABANDONED FOR
ANY 180 D1ti'Of?SUllilings:
Occupancy Group:
Heat Source:
Sq, Footage:
.
I Job# 01.00849.01
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
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Page 2 of 2
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Quad Area:
# Of Units:
Constr, Type:
Water Heater:
# 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.
Freestanding Pellet
I
-After installation.
Required Inspections
Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
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
08/08/2001 6381
08/08/2001 6381
08/08/2001 6381
08/08/2001 6381
08/08/2001 6381
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Freestanding Pellet Stove
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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 /
re~ pro er time and that the project address is readable from the street. R if" 10 I
- - I '
Signature Date
1,800
$15,00
$3,60
$30,00
$10,00
$3,15
$61,75
$61.75