HomeMy WebLinkAboutPermit Mechanical 2002-05-20225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2505 E St Spr
AssessorsMap#: 17033614
Lot: Block:
Job# 02-00593-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of 2
Job Number: 02-00593-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01300
Subdivision:
SPRIiTGFIELD
crTY oF SPRTNGFIELD, OREGON
Owner: Rick Doughtery
Address: 2505 E Street
Scope Of Work: Mechanical
Gas Stove
Phone Number:
City/State/Zip:
Addition
541-746-7155
Springfield, OR97477
Value: $0
Contractor Type
MechanicalContr
Contractor
Marshalls lnc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
25790
Expiration Date
12t23t2003
Phone
541-747-7445
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. 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 lnspections
Mechanical
Rough Gas
lnsert
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units
-After line is installed and capped if not attached to an appliance.
-After installation.
Final Gas ltl0IlCE: -When attgas work is comptete.
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Accessory Total:
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Job# 02-00593-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
05t20t2002
05t20t2002
05t20t2002
05t20t2002
05t20t2002
9147
9147
9147
9147
9147
$36.00
$3.60
$9.00
$10.00
$3.1 5
$61.7s
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
requested at proper e and that the project address is readable from the street.
$61.75
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