HomeMy WebLinkAboutPermit Mechanical 2000-10-5
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I Job# 00-01491-01 I
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Page 1 of2
TRANS#:01-0003384
DATE:OCT 05 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01491-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2850 Riviera Ct Spr
Assessors Map#: 17032332
Lot: Block: Addition:
Owner:
Address:
Lisa Lord
2850 Riviera Ct
Scope Of Work: Mechanical
gas line, insert and w/h
Contractor Type
Mechanical Contr
Tax Lot #: 03700
Subdivision:
Phone Number: 541-747-6469
City/State/Zip: Springfield, OR 97477
New Value: $0
Contractor
American Gas Appliance Service Inc
618 Hamilton St, Springfield, OR
97477-3611
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration #
77621
Expiration Date
10/31/2000
Phone
541-954-4686
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'L\flJl^i!lSp~ctions requested before 7:0Q
a.m. will be made the same working day, inspections requested after '1'00'l8:m. will be made the following
working day. THISPERMITSHALLEXPIREIFTHEWORK
R . d I t'i'IT!;jnoI7r::n 11~lnl::Q T'.lIC Ol:O."T IC .,n.
equlre nspec ons
Mechanical eeMtvjENCED OR IS ABANDOilJED fOR
ANY 180 DAY PERIOD.
Rough Gas
Rough Mechanical
Gas Service
Final Gas
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tei
- When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq, Feet)
_ Main: Accessory:
ATTENTION:OregCln law reQuires you to
follow rulas adopted by the Oregon Utilitl
Notification Center. Those rules are set fon
# Of Stories: in OAR952~OOt(f!!l1~lJughOAR952-o01
Current Units: 0090. You rl?r~p'OsedIUn'tls:s of the rules b)
Census Code: Does n6tlHi5llJY:he center. (Note: the telephone
nlmberforthe Oregon Utility Notification
Total: . Center is 1-800-33:?-2344).
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Job# 00-01491-01
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Fee
Paid On Receipt#
Mechanical
10/05/2000 3384
10/05/2000 3384
10/05/2000 3384
10/05/2000 3384
10/05/2000 3384
10/05/2000 3384
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical Issuance
State Surcharge For Mechanical Permit
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
req~::te~ J/tt;J proper time and that the project address is readable from the street.
/A/Jff,~ /0-0 ~
Signature Date
1
$2.00
$8,50
$.45
$4.50
$10,00
$1.05
$26.50
1
$26.50