HomeMy WebLinkAboutPermit Mechanical 2000-08-08225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2449 0001sth St
AssessorsMap#: 17032433
Lot: BIock:
Job# 00-01221-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
spr
Addition:
Page 1 of 2
Job Number: 00-01221-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01700
Subdivision:
SPRINGFIELD
ctTY oF sPRlilGFlELq OREGON
Owner: Rita and Emil Klym
Address: 2449 15th St
Scope Of Work: Mechanical
Gas line and new gas water heater
Phone Number: 541-726-8268
City/State/Zip: Springfietd,ORgT4Tt
New Value: $0
Contractor Type
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
ABC Stove Service
PO Box 108, Dexter, OR 97431
Office Use
Land Use:
Zoning
Bedrooms
Range:
Registration # Exp Phone
541 -937-861 8
r5
Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording atl26-3 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.
Required lnspections
Mechanical
-After line is installed and line has been
-When all mechanicalwork is complete.
# Of Stories:
Current Units:
Census Code: Does not apply
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Rough Gas
Gas Service
FinalMechanica!
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
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Accessory:Total:
Proposed Units
Job# 00-01221-01 Page? o12
Fee Paid On Receipt# Value/euantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
ApplianceVent (Not Covered in Schedult
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
0B/08/2000
0B/08/2000
0B/08/2000
0B/08/2000
08/08/2000
08/08/2000
2851
2851
2851
2851
2851
2851
1 $2.00
$8.50
$.45
$4.s0
$10.00
$1.05
$26.50
1
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 i.orrect, and I further certify that any and all work
performed shall be done in accordance with the Oroinances of the City of SpringfielO ahO tne Laws oftlg 9tg!" 9f Oregon. I further state that only contra;lors 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.
$26.50
t't-ad
Date