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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 connectedio f tfiinirnunr ofgme applialree8pmr rre ter foltow rutes adopted Oy itre OregoriUtititl 'lotification Center. Tho-se rubs dre set fo'rtr n OAR 952-001-001 0 through OAB 9S2-0-0iJ090. You may obtaincopi6sof the rules-br cailing the ienter. ( Notb: til 6hpffi; - numberforthe Oregon Utility Nofihcatior Height (f6tilfta' t. r .q^n-reo-2e441_ Rough Gas Gas Service FinalMechanica! Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: r--r ff,m-zlp.. z.(} EIJ(3 rrl(.r|.. {r= 77D} mcD.. 4+ p =-{ (}H I(3 C)ar'Jm LNFJ O--f r.J(3r3(3 l\l {r} T.J C]! LN(} 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