HomeMy WebLinkAboutPermit Mechanical 2000-12-12
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I Job# 00-01779-01 1
Page 1 of2
TRANS#:01-0004017
DA TE : DEC 12 2000
AMT RECD:1 $ 26.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01779-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1452 Quinalt St Spr
Assessors Map#: 17032532
Lot: Block: Addition:
Tax Lot #: 01100
Subdivision:
Owner:
Address:
Coleman
1452 Quinalt
Phone Number:
City/State/Zip:
Springfield, OR
Value: $0
Scope Of Work: Mechanical New
Gas piping water heater and fireplace insert
Contractor Type
Mechanical Contr
Contractor
ABC Stove Service
PO Box 108, Dexter, OR 97431
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
/',
, ~'lIo "-
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Registration #
4? ~ ~'\
~ 4.{.... ;or:' .
a, '? C :ro.c:..:\ '
-rJ,;.-. ... 14.~
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Offictt.lJ~.!r _ ',;
'/ ...... ~.. 'C'
Land Use: ~, ~ ,,'
Zoning Code:
Bedrooms:
Range:
Expiration Date
Phone
541-937-8618
<
r
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
- ,
.,
working day,
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To request an inspection call the 24 hour recording at 726-3769, All inspections r~queste'd.before 7:00
a.m, will be made the same working day, inspections requested after 7:00 a.m. ~iIIlie nfl!d.e>the following
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R . d I t' """ '? '" '" ,.it
, equlre nspec Ions " 'C' -02 u,-< ",
, --I "i'..1.(S) v,
'~, ,I '\, Mechanical '0-:> .-
,)., ""
- '7[(\ '/0- ''It.
- Prior to cover~ -(j> ~
-After line is inst{i~ede~C\i1ine has been connected to a minimum of one appliance,
- When all gas work is complete.
- When all mechanical work is complete,
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Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Pressure te!
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Fee';)~-
1 Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-01779-01
Fee
Paid On Receipt#
Mechanical
12/12/2000 4017
12/12/2000 4017
12/12/2000 4017
12/12/2000 4017
12/12/2000 4017
12/12/2000 4017
12/12/2000 4017
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Gas Fireplace
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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Value/Quantity Fee Amount
I
1
$2.00
$2.50
$.45
$6.00
$4.50
$10.00
$1.05
$26.50
$26.50
1
1
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 fu er agr e to ensure that all required inspections are
req~..':1t ~:rop~me and that the pr ect /Jess is readable from the street.
/ \/~// _ f/) /2 ~2 -&
(signature . // /Y
Date