HomeMy WebLinkAboutPermit Mechanical 2002-9-25
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I Job# 02-01150-01 I
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Page 1 of2
TR~~:Sj!. 01-0010718
DATt; SEP 25 20G2
AMT RECD:2 $ 61.75
CHANGe: :
CASH:LER.032
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01150-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 650 Rowan Ave Spr
Assessors Map#: 17033423
Lot: Block: Addition:
Tax Lot#: 01110
Subdivision:
Owner:
Joesph Battig
650 Rowan Ave
Phone Number: 541-747-7732
Address:
City/State/Zip:
New
Springfield, OR 97478
Value: $0
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Marty Hopkins
-00000O, LaPine, o~"
1u.<tTf> ---.'5.A.JI ~ ~
'U
Registration #
!SZ"jZi
Expiration Date
q-~o _"I
Phone
541-536-7623
Office Use
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
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 inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
I Mechanical I ~. _, 1 .
Preliminary Inspection - Prior to the installation of solid fuel appliance which .will be ven\e4:througr.~h .e.xisting chimney.
Pellet Insert -After installation. :2';,,::,., T:1~~~ .:" ,,'~r< L ,.,,'.
Final MechanicalNOTlCf:When all mechanical work is complete. ' , J:::'C~ '~a10 u- _. Wl..s;~c s~ ;,),.
T ". '''', 'lurl'H)A""
HIS PERM '.. -',1 Jot"Jir. _ _'. ,-, J.):o-CLl
AUTHOR'ZE~ ~~~~~ EXPIRE IF THE WORK 1, Ge':u. (i\:<';~':I~:~: lh~ :!"2:- .~,
Construction TYil~.:JMENCED OR IS ATe HIS PERMIT IS NOT rh.- OWaor ~i:jn.~ ,e[::;,7 ;,[".8
.. ANDONEO FOR ' . " 1, '~O',,,[" '(10-
Occupancy Grout>N. 1 ao DAY PERIOD ' -. :"0.""." ".,: '. ,~ "
# Of Buildings: . # Of Stories: Height (feet): '
# Of Bedrooms: Current Units: Proposed Units:
Handicap Access? 0 Census Code: Does not apply
,Area (Sq. Feet)
I Main: Accessory: Total:
".
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Job# 02-01150-01
Paid On Receipt#
Mechanical
09/25/2002 10718
09/25/2002 10718
09/25/2002 10718
09/25/2002 10718
09/25/2002 10718
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Page 2 of 2
Value/Quantity Fee Amount
Fee
I
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Pellet Insert
Mechanical Issuance
State Surcharge - Mechanical
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.Qregon. I further state that only contractors and employees who are in compliance with
ORS 701 :05 will be used this p oject. I further agree to ensure that all required inspections are
requeste a the p per time a d t at he project address is readable from the street. / /
}/'J. 9/25/ ()1.--
~te {
2,000
$15.00
$3.60
$30.00
$10.00
$3.15
$61.75
$61.75
Page 1 of 1
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LICENSE 152927
NUMBER:
NAME: HOME CONSTRUCTION
ADDRESS: 16500 SPRAGUE LP LA PINE OR 97739-0000
WORK PHONE 5415367623
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LICENSE STATUS: Active
EXPIRATION 912012004
DATE:
DATE FIRST 912012002
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