HomeMy WebLinkAboutPermit Mechanical 2001-5-3
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I Job# 01-00455-01
Page 1 of 2
TRANS#:01-0005149
DA TE : t1A Y 03 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
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SPRINGFIELD
~-
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00455-01
225 North Fifth Street
Springfield,OR97477
Office: 726-3759,
Inspection Line: 726-3769
location Of Proposed Site: 1625 J St, Spr
Assessors Map#: 17033621
lot: Block: Addition:
Tax lot #: 03300
Subdivision:
Owner:
Address:
Brian Descutner
Phone Number: 541-747-6546
City/State/Zip: Springfield, OR 97477
New Value: $0
1625 J Street
Scope Of Work: Mechanical
change out with freestanding gas fireplace
Contractor Type
Mechanical Contr
Contractor
Beymer Heating
300 River Rd, Eugene, OR 97404
Registration # Expiration Date
4483 11/14/2002
Phone
541-688-5004
Quad Area:
#Of Units:
Con~tr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
ATTENTION:OregoI'illJa\~t' Sr~ouireEi you [0
nea ource. Ut'\'t
follow rules adoptedsvt~5M~e~qn II y"
r..1^+:f;"",tinn r.~nt~r Tho~'e rUles%re set forth
;~~6p, F.i-A~2-001-001 0 through OAR 952-001-
To request an ins,pection call the 24, hour recording at 726-3769, ;A:IIv'n'sRection~tr..els:l u~stea.before 7.1:J:'{il.O.:: by
, ClGiOO r.:::,' ro~y, 0", ",' , l;OUIt::~ v' Lt''''' I_-
a.m. will be made the same working day, inspections requestea 'after Y:OO a.m. tWill be maOteetbej.f.ollowir.lg
workin da ' . calling the cen er. {NOte; l I le "'!J"V',""
g y, number for the Oregon Utility Notification
R . d I . C" - d ...,',r. ",,'''' ,,<';.11 ,!\
eqUlre nspectlons o...~.. "J , -~ - -, - - ~ ,.' ,
Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance.
. -When all gas work is complete.
-When all mechanical work is coniiJ€tlICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
# Of Stories: ANY 180DA'l.t~~~IB~eet):
Current Units:., Proposed Units:
Census Code: Does not apply'
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Accessory:
Total:
Pressure te!
,..
Fee
Job# 01-00455-01
Paid On Receipt#
I ' Mechanical
05/03/2001 5149
05/03/2001 5149
05/03/2001 5149
05/03/2001 51'49
05/03/2001 ' 5149
05/03/2001 5149
Page 2 of 2
t",
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Gas Fireplace
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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.
'7~~ 0'-3-0/
S~n~ure D~e
1
$2.00
$8.50
'$.45
$4.50
$10.00
$1.05
$26.50
$26.50