HomeMy WebLinkAboutPermit Mechanical 2000-10-11
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I Job# 00-01529-01 I
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TRANS#:01-0003449
DATE: OCT 11 2000
AMT RECD:l $ 40.00
CHANGE:$ 13.50
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01529-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5576 Glacier Dr Spr
Assessors Map#: 18020411
Lot: Block: Addition:
Tax Lot #: 00900
Subdivision:
Owner:
Donald Kindt
5576 Glacier Dr
Phone Number: 541-726-0834
City/State/Zip: Springfield, OR 97478
New Value: $3,100
Address:
Scope Of Work: Wood or Pellet Stove
install pellet 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.
Freestanding Pellet
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-After installation.
Required Inspections
M h . I NOTICE:
ec amca .. r
I HiS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
A TTENTION:Oregon law requires you tll
Inlln,,, rl ,I,,,, "rlnntorl hv 'ho nrAnnn Utilitv
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Paid On R~n~llrrt#UU" v~V~lUe/6"1~litim"" a'''~J I;.'~ount
~C; ..P~r'\t:''' nn, ...,.j ..\.a.......I!"."dcCJ~.._~n.
Mechanicalnon Vnl' rrlay obtain copies of the rules by
10/11/2000 344!lallino thp center. (Note: the telephone $.00
10/11/2000 3449.!11bGl for (hI" Oreaor, Utility Notificatiol" $.45
10/11/2000 3449 ' ;-3,100:'~." $15.00
10/11/2000; 3449 $10.00
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Fee
Minimum Mechanical Permit
Mechanical Administrative Fee
Freestanding Pellet Stove
Mechanical Issuance
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Fee
State Surcharge For Mechanical Permit
Total Mechanical
Job# 00-01529-01
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Paid On Receipt#
Mechanical
10/11/2000 3449
Value/Quantity
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. J also understand that if I am requesting a preliminary inspection,
the WaJ~7ring may be~reqUired to be removed.
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7/'- .----
Signature Date
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Fee Amount
$1.05
$26.50
$26.50
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