HomeMy WebLinkAboutPermit Mechanical 2001-03-27SPRINGFTELD
Job# 01-00292-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2819 VILLA Way Spr
AssessorsMap#: 17032332
Lot: Block: Addition:
Job Number: 01 -00292-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02200
Subdivision:
ctTY oF SPRTNGFIELD, OREGOTV
Owner: Craig Widmer
Address: 2819 Villa Way
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-744-2807
Springfiled, OR97477
Value: $O
lnstalling gas line, 2 inserts & water heater
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 at726-3769. 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?
Area (Sq. Feet)
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code:Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
ApplianceVent (Not Covered in Schedult
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
03t27t2001
0312712001
0312712001
03t27t2001
0312712001
03t27t2001
03t27t2001
4775
4775
4775
4775
4775
4775
4775
1
2
$2.00
$.00
$.47
$4.50
$e.00
$10.00
$1.09
$27.06
Grand Total $27.06
1
Job# 01-00292-01 Page 2 of 2
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 allwork
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
at the proper time that the project address is readable from the street.
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Date