HomeMy WebLinkAboutPermit Mechanical 2000-12-18SPNINGFIELD
Job# 00-01797-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRAI'ISS: 01-000405?
DATE:I]EI 1E IOOI}
Al'1T RE[D:1 $ ?6.5CI
[HAN6[:
IA$HIIR:0&1
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1322 00007th St Spr
AssessorsMap#: 17032643
Lot: Block: Addition:
Job Number: 00-01 797-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot#: 10100
Subdivision:
crTY oF sPR nrGFtELD, OREGON
Owner: Fran Nicholas
Address: 1322 7th St
Scope Of Work: Wood or Pellet Stove
Phone Number:
City/State/Zip:
New
541-746-7392
Springfield, OR97477
Value: $O
wood stove
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.
Mechanical
Wood Stove -After installation.
I
Construction TYPes:
Occupancy GrouPs:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.F
Main:Accessory:
Minimum Mechanical Permit
Administrative Fee - Mechanical
Woodstove
Mechanical lssuance
# Of Stories: Height (feet):
Current Units: *- ProPosed Units
Census Code: Does not aPPIY
Total:
Paid On ReceiPt# ValuFee
12t1812000
1211812000
1211812000
1211812000
4057
4057
4057
4057
Mechanical
Fee
$.00
$.45
$15.00
$10.00
Job# 00-01797-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Mechanical
Total Mechanical
Mechanical
1211812000 4057 $1.05
$26.50
Grand Total
By signing this permiUapplication, I agree to callfor an inspection(s) as required (726-3769). I state
that all information on this application is correct. I further state that the appliance I am installing
meets smoke emission standards as set by the Oregon Department of Environmental Quality or the
Federal Environmental Protection Agency and I agree to provide the testing approval number to the
inspector at the time of inspection. I also understand that if I am requesting a preliminary inspection,
be required to be removed.
sig re
$26.50
0 o
Date
PRINGFIELD
eport lD : SPRA103
Voucher lD :
Handling Gode:
00028764
RE
City of Springfiel
Voucher
I
I
i
Vendor Number:
Voucher Date :
lnvoice # :
Approver:
Operator:
Gross Amount :
BY Proi/Grant
0000005962
Feb 21, 2001
2-21-2001
Puent,David
wtLS5940
21.20
Amount
Nicholas,Fran
13227th Street
Springfield, OR 97477
)escription
llechanical Refund
Account Fund 9g Subclass
215004
425602
426605
2001
2001
2001
0.84
20.00
0.36
821
100
100
)omments:
'ob number 00-01797-01, ok'd by Lisa Hopper
l3zz k s+-
Pirli.