HomeMy WebLinkAboutPermit Mechanical 2000-08-15Job# 00-01253-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
.:PRTNGFIELD
IRAI'{E*:01*000??14
DATE:HU6 15 2OOO
At{T fttCD:2 $ ?6.50
CHANEE:
CAEHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 196 00033rd St Spr
AssessorsMap#: 17023131
Lot: Block: Addition:
Job Number: 00-01 253-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01202
Subdivision:
ctTY oF SPRfiNGFfiELq OREGON
Owner: Ron Lovelady
Address: 196 33rd st
Scope Of Work: Mechanical
New Gas Service and stove
Phone Number:
City/State/Zip:
Alteration
Registration
541-744-1507
Spri , oR97477
/6.
Contractor Type
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Caveman Construction
PO Box 566, Veneta, OR 97487
hone
Office Use
Land Use
Zoning Code:
Bedrooms:
,)96
Range:
To request an inspection call the 24 hour recording at726-3769
a.m. will be made the same working day, inspections requested
working day.
Required Inspections
Rough Gas
Gas Service
lnsert
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(".
# Of Buildings:
Occupancy Group:
Source:
s
Mechanical
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-After installation.
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
ww
Area (Sq. Feet)
Main:Accessory:Total:
'b
Job# 00-01253-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical lssuance
State Surcharge For Mechanical Permit
Tota! Mechanical
0B/1 5/2000
08/1 5/2000
0B/15/2000
0B/1 5/2000
0B/1 5/2000
0B/1 5/2000
2914
2914
2914
2914
2914
2914
1
$2.00
$8.50
$.45
$4.50
$10.00
$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
at the proper time and that the project address is readable from the street.
$26.50
nature Date
1
7-(*-cO