HomeMy WebLinkAboutPermit Mechanical 2000-10-13SPRINGFIELD
Job# 00-01537-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANSil:01-0003474
DATE:0[T 1] ?000
Al'tI RE[D:? $ 2&.50
IHAI',IEE:
[ffEHIER:05?
Job Number: 00-01537-01 t
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3714 Virginia St Spr
AssessorsMap#: 17023143
Lot: Block: Addition:
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 01601
Subdivision:
ctTY oF SPRilVGFfiEL4 OREGON
Owner: Jack R. Neuschwanger
Address: 3714 Virginia St
Scope Of Work: Mechanical
Pellet Stove
Phone Number:
City/State/Zip:
Alteration
541-747-5101
Springfield, OR 97478
Vatue: $3'000
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
up
To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00
a.m. will be made tne same working day, inspectiols requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Mechanical i
Freestanding Pellet -After installation'r1 \r
Construction TYPes:
OccupancY GrouPs:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Storiess Height (feet):
Current Units: ProPosed Units:
Census Code: Does not aPPIY
(Sq. Feet)
Accessory TotalMain:
Paid On ReceiPt#Value/QuantitY Fee Amount
Mechanical
Fee
Minimum Mechanical Permit
Mechanical Administrative Fee
Pellet lnsert
Mechanical lssuance
1011312000
1011312000
10/13/2000
1 0/1 3/2000
$.00
$.45
$15.00
$10.00
3474
3474
3474
3474
3,000
u Nottl rcaliol
Job# 00-01537-01 Page2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
State Surcharge For Mechanical Permit
Total Mechanical
10t1312000 3474 $1.05
$26.50
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 at the proper time and that the project address is readable from the street.
Date
$26.s0
/O'/J-ct6