HomeMy WebLinkAboutPermit Mechanical 2000-01-28Job# 00-00139-01 Paoe 1 ot2- TRANSS:01-0000196
DffTE:JAN 2E TOOO
AHT RE[D:2 $ 26.50
IHANGE:
IASHIEH:003
SPNINGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 870 00022nd St Spr
AssessorsMap#: 17033612
Lot: Block: Addition:
Job Number: 00-001 39-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 07400
Subdivision:
clTY oF SPRINGFIELD, OREGOTV
Owner: Greg Nelson
Address: 870 22nd Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-988-3041
Springfiled, OR97477
Value: $0
lnstall a vented gas stove & replace existing elect WH with a gas WH
Gontractor Type
MechanicalContr
Contractor
Midgleys
1678 West 7th Avenue, Eugene, OR
97402
Registration #
19364
Expiration Date
12t6t2000
Phone
541-343-1131
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. 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.
Rough Gas
Rough Mechanical
Gas Service
FinalMechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
Required lnspections
Mechanical
-After line is installed and capped if not attached to an appliance.
-Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Main:Accessory Total:
Job# 00-00139-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Equipment Not ltemized on Permit
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
01t28t2000
01t28t2000
01t28t2000
01t28t2000
01t2812000
01t28t2000
1
2
$2.00
$4.00
$.45
$9.00
$10.00
$1.05
$26.50
Grand Total $26.50
DateSignature