HomeMy WebLinkAboutPermit Mechanical 2001-11-02ctTY oF SPRTNGFTELD, OREcOn
SPRINGFIELD
Owner: Larry Wilson
Address: 2758 3rd Street
Scope Of Work: Mechanical
Job# 01-01223-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
c
Page 1 ot 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2758 00003rd St Spr
AssessorsMap#: 17032334
Lot: Block: Addition
Job Number: 01-01223-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00900
\o bdivision
-747-7251
, oR97477
Value: $0
# Expiration Date
New '*s@{i 5
Contractor Type
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
lnstall natural gas fireplace insert
Contractor
Marshalls Heating
4110 Olympic Street,
97478
Phone
541-747-7445
--"
To request an inspection call the 24 hour recording at726-3769. All inspections
a.m. will be made the same working day, inspections requested after 7:00 a.m.
working day.
Required lnspections
Mechanical
Land Use:
Zoning Code:
Bedrooms:
Range:
- Prior to cover.
-When all mechanicalwork is complete
# Of Buildings:
Occupancy Group:
rce
before 7:00
following
!?--
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
# Of Stories:
Current Units:
Census Code: Does not apply
H,
P
eight (feet):
'roposed Units:
Main:Accessory:Total:
Job# 01-01223-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
1110212001
11102t2001
1110212001
1110212001
1110212001
7166
71 66
71 66
71 66
71 66
$4.00
$41.00
$3.60
$10.00
$3.15
$61.75
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
req at the proper ti and that the project address is readable from the street.
Signature Date
$61.75
1