HomeMy WebLinkAboutPermit Mechanical 2001-7-24 (2)
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I Job# 01-00780-01 I
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TRANS#:01-0006235
DATE:JUL 24 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
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*' SPRINQFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00780-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3538 Gamefarm Rd Spr
Assessors Map#: 17031540
Lot: Block: Addition:
Tax Lot #: 02700
Subdivision:
Owner:
Address:
Karen Allred
3538 Game Farm Rd
Phone Number: 541-746-5585
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Mechanical
Install gas insert
Office Use
Quad Area: Land Use: NOTICE:# Of Buildings:
# Of Units: Zoning Code: Occupanw Group: WORK
Constr. Type: Bedrooms: THIS PERrv"He~flSbbrc~IHl: ,r THE
Water Heater: Range: AUTHORIZSq.tl1ootage':lIS PERMIT IS NOT
_ - --- -....r
COMMENCED UH It; flDfll~UV"C"j , VI'
To request an inspection call the 24 hour recording at 726-3769. All inspections re~~sted\~fore 7:00
a.m. will be made the same working day, inspections requested after 7:0INIYn1/Will:tl'e m~Ci'elih'e following
working day.
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. F" , ;)~
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
AT:Ei~TIO;\l:Orsgon 13\\/ requires you to
fol!ow rules acio,Jted lJy tile O(8gon lidlity
Noti'j;cation Canie.. T;10S3 rul<::s ar3 sat forth
in OA:=l 852-00'1-001 0 throc'gh OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Nots: the telephone
mHe'iglii((fe~f):Oregon Utility Notification
r.p.n'~' js.1-800-332-2344).
Proposed Umts:
"
Total:
Fee
Paid On Receipt#
I Mechanical
07/24/2001 6235
07/24/2001 6235
07/24/2001 6235
07/24/2001 6235
07/24/2001 6235
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Duct Heater
Gas Fireplace
1
$2.00
$8.50
$.45 (,
$.00
$4.50
1
(({!j) ,~
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Job# 01-00780-01
Paid On Receipt#
Mechanical
07/24/2001 6235
07/24/2001 6235
,
Fee
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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Page 2 of2
Value/Quantity Fee Amount
$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 ensure that all required inspections are
requested at the proper ti~e ffd tha)1he project address is readable from the street.
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Signatur,
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