HomeMy WebLinkAboutPermit Mechanical 2002-5-10
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1 Job# 02-00534-01 I
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Page 1 of 2
TRANS#:01-0008958
DATE:NAY 10 2002
ANT RECD:2 $ 61.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00534-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection line: 726-3769
Location Of Proposed Site: 748 Filbert Ln Spr
Assessors Map#: 18020522
Lot: Block: Addition:
Tax Lot #: 00700
Subdivision:
Owner:
Robert Running
748 Filbert Lane
Phone Number: 541-726-3098
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
land Use:
Zoning Code:
Bedrooms:
Range:
City/State/Zip: Springfield, OR 97478
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Value: $O'jo\> .\,'
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Office Use \0' ' \ '"
"~el 'IS
nvll''O Gef'\6. # Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
New
Address:
Scope Of Work: Mechanical
Gas space heater installation
Contractor Type
Manuf Home Install
Contractor
Robert Running
748 Filbert Lane, Springfield, OR 97478
Rough Mechanical
Gas Service
Final Mechanical
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before ~:o ~~~
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the fo ~~'\
working day. ~ ~~ ~ '\
R . d I t' _IO~ _,_9-~ - (,~~
equlre nspec Ions \. 't- - l\~ ' - ~'i.v
I Mechanical I... ~~.....~~~ '\~ ~~'\)
-Prior to cover. ~\vr,&f ~~'\) ~.....<Q
-After line is installed and line has bee~~~~~~~~~~1":'~f one appliance.
-When all mechanical work is complete. "\~ ~~'\) ~~~ ~ ~:y,~~
.....\:l ~~YJ ~ ~~
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Pressure tes
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Job# 02-00534-01
Paid On Receipt#
I Mechanical
05/10/2002 8958
05/10/2002 8958
05/10/2002 8958
05/10/2002 8958
05/10/2002 8958
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Page 2 of 2
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
$4.00
$41.00
$3.60
$10.00
$3.15
$61.75
$61.75
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
reque;!l)djt ~ proper t~e9that the project address is readable from the street.
rJ6&J~ K~ S-7-d-2-
Signature / Date