HomeMy WebLinkAboutPermit Mechanical 2002-4-30
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I Job# 02-00499-01 I
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Page 1 of 2
TRANS#: 01--0008770
DATE:APR 30 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 061
y' SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00499-01
225 Fifth Street
Springfield. OR 97477
Owner:
David Logan
Office: 7~~~
Inspectio~,V1'i\\i;i\~~~
~ ~\. ~''iII t.'il.\-A" ~ . a
Hayden Bridge R~~~~ t.~\-A\' ~\\~t.'il. '\\'~ ~O~t.\) iO'il. '2..1~ \
i\\\S ~O?-\tt.\) \)e:$&l~~ 00800 /If:' -r/
AdditiO~~ ..~~~Ct.\) ion: t1 ~
_"..,,''''~ ~' 'I
p~~e ~9n~~:: 541-726-3732
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City/State/Zip:
New
Springfield. 01 97477
Value: $0
Location Of Proposed Site: 3092
Assessors Map#: 17021900
Lot: Block:
Add ress:
3092Hayden Bridge Rd
Scope Of Work: Mechanical
Install gas insert
Contractor Type
Mechanical Contr
Registration # Expiration Date 1)\0 Phone
_ ~o ,''''
19364 10/20/2003-.},,0" ^U'541;343-1131
,~" 0" \0' ,.
.., ';J;.'l'I O,aQl 0 ",a\ ()....
_,.-,.c.'..:" ,\'(\0. _~ 0.'( _<C..f}/iJ ,_..I
'::-.\.......... eo,v 1 1,\)\..... ~"'", ~0';)""
. '\\;.':-\ ;\0", '3-00"~ .\~O"'~I)\f' ~\ \~0 \~0(\0
f'\ :otI \1)\'2> C0(\\0 #.Of!Buildings:.\0". '3-\,0(\
\0\\0 'i.'o(\ ""....a"o...^ c.v< . . "G'" . ,~,\\,c
.~\c'3' rl-NV ccuRi!ncy roup.:
~o\~ f'o.9S '3-'l o~ .' ,."- ",,\\" fi.b.~'
O~ 01) {I\ J;leat Source.:J'~~
i(\ -{ 0 C" iy"4V """
Water Heater: Range: r,09a ~\\\(\~ \~.. ~~_q._ ~'?8!agll:
'"'- :00' ,- ie' '.-
To request an inspection call the 24 hour recording at 726-3769. All inspectionslrg~'uested 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.
Contractor
Midgleys
1678 W 7th Ave. Eugene. OR 97402
Quad Area:
# Of Units:
Constr. Type:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 02-00499-01
Paid On Receipt#
Mechanical
04/30/2002 8770
04/30/2002 8770
04/30/2002 8770
04/30/2002 8770
04/30/2002 8770
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Page 2 of 2
Value/Quantity Fee Amount
/..
Fee
I
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
1
$4.00
$41.00
$3.60
$10.00
$3.15
$61.75
$61.75
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 uested at the proper' e and that the project address is readable from the street.
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D1~,/02-