HomeMy WebLinkAboutPermit Mechanical 2000-1-10
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JOD# uu-uil026.Q1
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Page 1 of 2
TRANS#:01-0000198
DATE:JAN 10 2000
AMT RECD:2 $ 27.06
CHANGE:
CASHIER: 042
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00026-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 979 Filbert Ln SPR
Assessors Map#: 18020523
Lot: Block: Addition:
Tax Lot #: 00201
Subdivision:
Owner: Michael Ditlefsen
Address: 979 Filert Lane
Scope Of Work: Mechanical
Phone Number: 541-741-0679
City/State/Zip: Springfield, OR 97478
New Value: $0.00
Install gas fired fireplace, change water heater to gas, and install freestanding gas fireplace in
recreation room
Contractor Type
Mechanical Conlr
Contractor
Michael Ditlefsen
979 Filert Lane, Springfield, OR 97478
Registration # Expiration Date
Phone
541-741-0679
Quad Area: 5RSc
# Of Units:
Constr, Type:
Water Heater: Gas
Office Use .
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source: Gas
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 7:00 a.m. will be made the following
working day.
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Required Inspections
I Mechanical I
- After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure test don
- When all gas work is complete.
- When all mechanical work is complete.
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Zoning:
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
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I Job# OO.Q0026.Q1
Overlay District:
# of Street Trees:
Page 2 of 2
Land Use:
Pave Driveway? D
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?~
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq, Feet)
I Main: Accessory:
Fee
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Equipment Not Itemized on Permit
Gas Fireplace
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Flood Plain FEMA:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On
Receipt#
Value/Quantity
Fee Amount
MeChanical
01/10/2000
$2.00
$.00
$.47
$4.50
$9.00
$10.00
$1.09
$27.06
$27,06
198
1
2
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
requested at the proper time and that the project address is readable from the street.
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Si!liiature Date