HomeMy WebLinkAboutPermit Mechanical 2002-09-30t
Page 1 of2SPBIIUOFIELD
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225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2589 00035th Pl Spr
AssessorsMap#: 17021942
Lot: Block: Addition
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01 172-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04900
Subdivision:
Job#72-01
clTY oF SPRINGFIELD, OREoON
Owner: Pauland Lisa Bedortha
Address: 2589 35th Place
Scope Of Work: Mechanical
Phone Number:
Gity/State/Zip:
New
541-741-2810
Springfield, OR97477
Value: $0
Gas fireplace insert
Contractor Type
MechanicalContr
Contractor
Midgleys
1678 W 7th Ave, Eugene, OR 97402
Registration #
19364
Expiration Date
1
Phone
541-343-1131
Quad Area:
# Of Units:
Gonstr. TyPe:
Water Heater:
1
(VN) Wood Frame
Office Use
Land Use:
Zoning
Bedrooms:
Dwelling
To request an insPection call the 24 hour recording at
a.m. will be made the same
working daY.
Range:
working day, inspections requested after
nspections requested before 7:00
7:00 a.m. will be made the following
Aili
Rough Mechanical
FinalMechanical
Construction Types(VN) Wood Frame
OccupancY GrouPs: Dwelling
# Of Buildings:
# Of Bedrooms:
HandicaP Access?
Area (Sq.
Required lnsPections
Mechanical
-Prior to cover.
-When all mechanicalwork is complete
# Of Stories; Height (feet):
Current Units: ProPosed Units:1
Census Gode: Does not aPPIY
Main:Accessory:Total:
'e\"n<OO,ot",rl
Job#02-01172-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
09t30t2002
09t30t2002
09t30t2002
09t3012002
09t30t2002
10762
10762
10762
10762
10762
$36.00
$3.60
$e.00
$10.00
$3.15
$61.75
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 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
and that the project address is readable from the street.requested at the proper
S ignature
$61.75
qeil-
Date