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HomeMy WebLinkAboutPermit Mechanical 2001-8-8 --. I Job# 01.Q0849.Q1 I "~~ ~ . 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: ~ 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- -~ ....... vOluer (N I --....~ 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: . Page 2 of 2 .;. ...-J .. 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