HomeMy WebLinkAboutPermit Mechanical 2001-12-26SPRINGFIELD
Job# 01-01419-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
Job Number: 01 -0141 9-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 02741
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2546 00020th St Spr
AssessorsMap#: 17032442
Lot: Block: Addition:
ctTY oF SPRINGFIELD, OREGON
Owner: Bruce Fonnesbeck
Address: 2546 20th Street
Scope Of Work: Mechanical
lnstallgas insert and water heater
Phone Number:
City/State/Zip:
New
541-746-0770
Springfield, OR97477
Value: $O
Gontractor Type
Mechanical Contr
Gontractor
Ambassador Piping lnc
Po Box 70737, Eugene, OR 97401
Registration #
121469
Expiration Date
3127t2003
Phone
541-4654737
office use
-
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
NOTICE:
# Of Buildings:
Occupancy Group:
Heat Source:
working day
f,
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections req ng
ANY 180
Required lnspections
DAYPERIOD.
-Prior to cover.
Plumbing
I
-When all plumbing work is complete.
Rough Mechanical
Insert
FinalMechanical
- Prior to cover.
Mechanical
]
-After installation.
-When all mechanicalwork is complete.
Rough Plumbing
FinalPlumbing
number for the Oregrr, Utiiity Notitication
Center is i -Sf il_g$e_2344).
Job# 01-01419-01
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code:Does not apply
Total:
Page 2 of 2
Area (Sq.
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Tota! Plumbing
12t26t2001
1212612001
12126t2001
12126t2001
7607
7607
7607
7607
$31.00
$14.00
$3.15
$3.60
$51.75
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
1212612001
12t26t2001
1212612001
12126t2001
1212612001
12126t2001
7607
7607
7607
7607
7607
7607
1
1
$4.00
$32.00
$3.60
$e.oo
$10.00
$3.1 5
$61.75
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
requested time and that the project address is readable from the street.
Signature Date
$113.50
^2/"-1,/
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
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