HomeMy WebLinkAboutPermit Mechanical 2002-5-20 (2)
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I Job# 02-00596-01 I
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
1
Page 1 of2
TRANS#:Ol-0009157
DATE:MAY 20 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER: 032
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-00596-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4660 Franklin Blvd 36 ~ ~
Assessors Map#: 18030311
Lot: Block: Addition:
Tax Lot #: 02100
Subdivision:
Owner:
Address:
Ernie Ouge
4660 Franklin Blvd
Phone Number: 541-744-0753
City/State/Zip: Eugene, OR 97403
Addition Value: $0
Scope Of Work: Mechanical
Gas line
Contractor Type
Mechanical ContI'
Contractor
Gas Appliance Service Lie
1512 W 2Nd Ave, Eugene, OR
97402-4131
Registration # Expiration Date
122409 1/30/2002
Phone
503-343-1159
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 7:00 a,m, will be made the following
working day,
Required Inspections
I Mechanicali 1l::1~ ilIL;"I:Uf6<l.., ".y . ""_
J ;;I ~ -. .'""'-t~,.ltl......;. 1'.)1..1 (0
Rough Gas -After line is installed and capped if'ii'b't'a'ti;a'ct\eil t\)lan1appliance,regon' Utility
Final Gas -When all gas work is complete, ~~otllicatlon Center, Those rules are set fon 1
In OAR 952-001-0010 through OAR 952-00',-
OlICE' 0090. .You may obtain copies of the rules by
N . calling the center (Note' the t I h
Construction iiftr.J.:pfRMIT SHAll EXPIRE IF THE WORK1umber forth~ Or~gon UiililY Neo~~c~t~~n
Occupancy Gr9WmORJZeD UNDER THIS PERMIT IS NOT Center IS 1-81)(1-33'2''2344).
# Of Buildings:COMMENCEO OR IS ABA~rflOO , Height (feet):
# Of BedroomshNY 180 DAY PERIOD. Current Units: Proposed Units:
Handicap Access? U Census Code: Does not apply
rArea (Sq. Feet)
Main: Accessory: Total:
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Job# 02-00596-01
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Page 2 of2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
OS/20/2002 9157
OS/20/2002 9157
OS/20/2002 9157
OS/20/2002 9157
OS/20/2002 9157
1
$4,00
$41,00
$3,60
$10,00
$3,15
$61.75
$61.75
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
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
Qquested at the 1Kti:~':d that the project address is readable from the street. _I /
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