HomeMy WebLinkAboutPermit Mechanical 2000-9-1
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Job# 00-01336-01
Page 1 of 2
TRANS#:Ol-0003098
DATE:SEP 01 2000
AMT RECD:l $ 26.50
CHANGE:
CASHIER: 061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01336-01
225 North Fifth', Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2135 Loch Dr Spr
Assessors Map#: 17032512
Lot: Block: Addition:
Tax Lot #: 03300
Subdivision:
Owner:
Odett Force
2135 Loch Dr
Phone Number: 541-746-9849
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
installation gas freestanding stove
Contractor Type
Mechanical Contr
Contractor
Gas Connection Inc
6022 Ne 112Th Ave, Portland, OR 97220
Registration #
103146
Expiration Date
12/2/2001
Phone
503-252-4021
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a,m, ,will be made the same working day, inspections requested after 7:QO.R.JJJ.~,ilI.be made the following
working day, NU R 1'-'1:.
R . d I t' THISPERMITSHALLEXPIREIFTHEWORK
eqUlre nspec Ions
M h . I I AUTHORIZED UNDER THIS PERMIT IS NOT
ec anlca COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Rough Gas
Final Mechanical
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq: Feet)
Main: Accessory:
# Of Stories: ATT~N~IUI(f.~gon ;alA isquiref \fOU tr
Current Units: folloW'r9b~~~ytheOregon Uti/it)
Census Code: Does not ~~cation Center. Those rules are setton;
, in OAR 952-001-001 0 through OAR 952-001'
Total: 0090. You may obtain copies of the rules by
I'\!:)III"Q the rcntAJ:.fNntA' thA tAIAphnne
numberforthe Oregon Utility Notification
\-t' Center Is 1-800-332-2344).
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Job# 00-01336-01
Page 2 of 2
Fee
Paid On .Receipt#
Mechanical
09/05/2000 3098
09/05/2000 3098
09/05/2000 3098
09/05/2000 3098
09/05/2000 3098
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
$10.50
$.45
$4.50
$10.00
$1.05
$26.50
$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
requeste~ at t e proper time lr~ ~hat the ~roject address is readable from the street.
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Date