HomeMy WebLinkAboutPermit Mechanical 2000-10-25SPRINGFIELD
Job# 00-01586-01
RESIDENTIAL PERMTT
City Of Springfield
Community Services Division
Buitding Safety
Page 1 of 2
#olm,Wuull33
IHANGE I
IASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 693 Woodcrest Dr Spr
AssessorsMap#: 17033413
Lot: Block: Addition:
Job Number: 00-01 586-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02100
Subdivision:
ctTY oF SPR1NGFfiEL4 OREGON
Owner: Tony Drexler
Address: 693 Woodcrest Dr
Scope Of Work: Mechanical
New gas service and 2 appliances
Phone Number:
City/State/Zip:
New
541-747-9376
Springfield, OR97477
Value: $O
Contractor Type
MechanicalContr
Contractor
American Gas Appliance Service lnc
618 Hamilton St, Springfield, OR
97477-3611
Registration #
77621
Expiration Date
10/31/00
Phone
541-954-4686
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:"s\soRi Group:
Source:
Footage:
To request an inspection call the 24 hour recording a1726-3769. All in 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
Gas Service
FinalGas
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? !
Area (Sq. Feet)
Main:
-After line is installed and line has been connected to a minimum of one appliance. Pressure te:
-When all gas work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
Job# 00-01587-01 Page2 otZ
Fee Paid On Receipt# Value/Quantity Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanicat
Mechanical
10t25t2000
10t25t2000
1012512000
10t25t2000
1012512000
1012512000
3599
3599
3599
3599
3599
3s99
1 $2.00
$8.50
$.45
$4.50
$10.00
$1.05
$26.50
1
Grand Total $26.s0
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 vyill be used on this project. I further agree to ensure that all required inspections are
requested altffe proper time and that the project address is readable from the street.tut/-,,4 tu z-f*)
Signature Date