HomeMy WebLinkAboutPermit Mechanical 2000-12-27
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Job# 00-018~1-01
Page 1 of 2
TRANS#:01-0004122
DATE:DEC 27 2000
AMT RECD:l $ 27.00
CHANGE:'!; 0.50
CASHIER:059
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01831-0'1
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 246 H St Spr
Assessors Map#: 17033522
Lot: Block:
Addition:
Tax Lot#: 13100
Subdivision:
Owner: Steve Chase Phone Number: 541-726-0746
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Address: 246 H Street City/StateLZiR:'.\. Springfield, OR 97477
Scope Of Work: Mechanical ,~t-Je~;~~~~~;.. <:;~;;\)()~'') Value: $0
"', ,<- ...,,!:,'G " ():, . 9J'.) \e~
wood stove in workshop f- :.,Q<"{"~~\'O~ ~ r~ '\~~n~~_o,\\)\ ~(\e
'\ ,cJ~'6.0<V"'v -(~o'" ~o~~\ .~, o\\.';,,\e~\~;?J.~O"
~..:;, '0'bt',......\~\' ~ \J\>' rilo~ ri,V"Q 6\{..'\
Contractor Type Contractor ~'\ '''~, '\~ ~!r:JQ~",~'\S ..~\~ ('~\(~8e~~t,~, a,tion # Expiration Date Phone
,~()"" ~'~.o'\' ~,,\ \\)"v' I,\"'v 'j')\\ '",-,!V
Mechanical Contr Steve Chase' \!, O,;~\cttl-"o.~j'l;,',l\7>~~ri.\.e"~f:'\o{} J'" '. . '541-726-0746
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246 H Street, Spri'ngjeld.,~eRi~~M'7zo :: "
\(\ ....(\. ..4'\ \: ..:q,'('< . '
:\):..1,~\\'"".. '\\.)'0 . r;'
':J ~~ ~ffice'Use ~
Quad Area: La'A'ltse:\ ,. # Of BUilgti\~~~\
#OfU' Z . C d 0 ~~~ A~~
. nits: onmg 0 e: c~(fpaney"uroup:
<il\~\'v' -~~\\' A~~
Constr. Type: Bedrooms: ~~P1ea~S~ource~\d
Water Heate~: Range: ,p:t!.... ,~~\,.'" <'\\~q~F.Hatfg~:
AU,'V .... c,\' _e..Y' . t..\'v.,
. -\.0'''- ,~\\ \)~""IV' ~\'"
To request an inspection call the 24 hour recording at 726-37169. ~[i~~p~~iOnSR'~~~ested before 7:00
a.m. will be made the same working day, inspections requeste~(~fte{\@O'o' a$5'\~i1~e'\'niade the following
working day. ~\J'\ ~~<c.~~~ ~~
R . d I t.rO. oi\
eqUlre nspec Ic>n~ ,-
I Mechanical t I
Wood Stove -After installation,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:, Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
. I
Paid On Receipt#
Mechanical
12/27/2000 4122
Value/Quantity
Fee Amount
f\I1inimum Mechanical Permit
$.00
#
Job# 00-01831-01
Paid On Receipt#
Mechanical
12/27/2000 4122
12/27/2000 4122
12/27/2000 4122
12/27/2000 4122
Fee
Administrative Fee - Mechanical
Wood stove
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Page 2 of 2
Value/Quantity Fee Amount
200
$.45
$15.00
$10.00
$1.05
$26.50
$26.50
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 ehsure that all required inspections are
re~}~~er ti:e and that the prOject address is readable from the street.
Signature
('L-Z7-ou
Date