HomeMy WebLinkAboutPermit Mechanical 2000-3-24
~
I
{~
SPRINGFIELD
.~
225 North Fifth Street
Springfield, OR 97477
Page 1 of 2
TRANS#:01-0001044
DATE:MAR 24 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
.
I Job# 00-00467 -01 I
..
CITY OF SPRINGFIEL~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00467-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 748 Granite PI Spr
Assessors Map#: 17033412
Lot: Block: Addition:
Owner:
Tax Lot #: 01120
Subdivision:
Rob Marvin
748 Granite Place
Phone Number: 541-741-6085
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Contractor
American Gas Appliance Service Inc
618 Hamilton St, Springfield, OR
97477-3611 NOTICE:
Office"l:Ilfe:'G..t.~::r :JIIALL EXPIRE IFTHE WORK
Land Use: AUTHORIZED UNDERTHIS Ft.:Bf/Bulfdings:
Zoning Cod€OMMENCEDOR ISABAND~YP'll..l1C;y Group:
Bedrooms: ANY 180 DAY PERIOD. Heat S9urce:
Range: Sq. Footage:
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration #
77621
Expiration Date
10/31/00
Phone
541-954-4686
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
I~rea (Sq. Feet)
LMain:' Accessory:
Rough Gas
Gas Service
Final Gas.
Requi1iQ.lDspe.cti.o.os~~ull ;a.y~ IGYU.IIC;: 1\.1\".0
1-:-NRJ8mI~1~~~adoptjld by the Oregon Utilil
'.UIlIl(;i1l1UIl....t:lIllt:lr. Those rules are set lor
:After line is installed a~~nl~~~~iPJj,1~?,h~b~~8Ijar)a~~~~ilfiif67 one appliance.
_ When all gas work is com \lCOU may ootalO caples aT me rUles b
a 109 the center. (Note: the telephone
"'umber for the Oregon Utility Notitiealiot
rlO"tC'~.:~ ~ ~0""~'1.,q.?'1l1.1\
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Pressure tel
~'
,
.
Job# 00-00467 -01
.f
Fee
Paid On Receipt#
Mechanical
03/24/2000 1044
03/24/2000 1044
03/24/2000 1044
03/24/2000 1044
03/24/2000 1044
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
.
Page 2 of 2
Value/Quantity
Fee Amount
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 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the ~per time and that the project address is readable from the street.
U~&~ .
Signature
3~2~
Date