HomeMy WebLinkAboutPermit Mechanical 2000-10-26
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SPRINGFIELD
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I Job# 00-01588-01 I
Page 1 of2
TRANS~:01-0003606
DATE:OCT 26 2000
AMT RECD:1 $ 40.00
CHANGE:$ 13.50
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: 00-01588-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 2356 Rodney Ct Spr
Assessors Map#: 17032722
lot: Block: Addition:
Owner:
Larry Weeks
2356 Rodney Ct
Address:
Scope Of Work: Mechanical
gas insert
Contractor Type
Mechanical Contr
Tax lot #: 03700
Subdivision:
Phone Number: 541-746-1159
City/State/Zip: Springfield, OR 97477
New Value: $0
Contractor
Gas Connection Inc
6022 Ne 112Th Ave, Portland, OR 97220
Phone
503-252-4021
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration #
103146
Expiration Date
12/2/2001
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 in'~p~c;tIDns~r.equested before 7:00
a.m. will be made the same working day, inspections requested after 7j:OO,a.in~Will be made the following _
working day. 11'::; PERMITSHALL EXPIRE I
. . AUTHOR/71=n"^,,,...~_, FTHEWORK
Required InspectlontOMMENCE ,-.,,, "0""I:.HIViITISNOT
Mechanical ^,11Y18 DOR IS ABANDONED FOR
.. o DAY PERIOD.
Rough Gas
Insert
Final Gas
-After installation.
- When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
AlTENT/ON'Ure
fO!/~w rules adopt2~~ la,lIIh requires you II
. NOflf"~,,t:,,~ ~ _, y. e Oregon Util't
# Of Stories: in OA Helght-(feet):. Those rules a J Y
Current Units: 0090.~~cfP~~Qb'ili7ii~:lJro~gh OA~~~~~6~~~
Census Code: Does not aP~!xlling the !e~~~~'" cop,.es of the rules by
I numbar for the Or~ (Note..I~e telephone
Total:.. Center;<< 1_RQ"onn Ut,litYNotification
.... 11. _-:)')1")"...."''')
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Job# 00-01588-01
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Page 2 of2
Fee
r
Paid On Receipt#
Mechanical
10/26/2000 3606
10/26/2000 3606
10/26/2000 3606
10/26/2000 3606
10/26/2000 3606
Value/Quantity
Fee Amount
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
reque~t;d t}h~ ~o~ti"?1~~ that th~ project address is readable from the street.
lY~u 1f1.f~ /IJ-:L(,-(JV
SignaJure '-- r1 Date
1
$10.50
$.45
$4.50
$10.00
$1.05
$26.50
$26.50