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HomeMy WebLinkAboutPermit Mechanical 2000-10-5 ~ . I Job# 00-01491-01 I . 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). . . Job# 00-01491-01 . Page 2 of2 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