HomeMy WebLinkAboutPermit Mechanical 2002-5-20
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I Job# 02-00591-01 I
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TRANS#:01-0009147
DATE: t'lAY 20 2002
AMT RECD:2 $ 247,00
CHANGE:
CASHIER:032
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00591-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1120 Fairview Ave 1 Spr
Assessors Map#: 17032731
Lot: Block: Addition:
Tax Lot #: 00600
Subdivision:
Owner:
Ellen McPherson
1120 Fairview #1
Phone Number: 541-726-5268
City/State/Zip: Springfield, OR 97477
Addition Value: $0
Address:
Scope Of Work: Mechanical
gas freestanding stove
Contractor Type
Mechanical Contr
Contractor
Marshalls Inc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
25790
Expiration Date
12/23/2003
Phone
541-747-7445
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
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 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.
Rough Gas
Final Gas
Final Mechanical
Required Inspections
Mechanical I
-After line is installed and capped if not attached to an appliance.
-When all gas work is complete.
-When all mechanical work is complete.
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,~'," .' Ira"! :J1t~ln c' 952-001_
-"lilr,p L'1" ~enc'or rN Oples of the rules by
ember '01 'he O~' ote: the telephone
;- ,~,~ . .r~!J"or. Utility Notification
Height (feet): '. '1. ~"?-<'144).
Proposed Units:
NOTICE:
T~~S PERMIT SHALL EXPIRE IF THE WORK
constru~~o.iHOOl!RI UNDER THIS PERMIT IS NOT
Occupa"-cY~~PJED OR IS ABANDONEn FOR
# Of BuildiliiJ$30 DAY PERIOD. fI OrStories:
# Of Bedrooms: Current Units:
Handicap Access? D Census Code: Does not apply
,Area (Sq. L.!)
, Main: Accessory: Total:
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Fee
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Gas Fireplace
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 02-00591-01
Paid On Receipt#
Mechanical
OS/20/2002 9147
OS/20/2002 9147
OS/20/2002 9147
OS/20/2002 9147
OS/20/2002 9147
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Value/Quantity Fee Amount
1
$36.00
$3.60
$9.00
$10.00
$3.15
$61.75
$61.75
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
request~:dk;a project address is readable from the street.
Signatu~ /
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Date