HomeMy WebLinkAboutPermit Mechanical 2001-01-16SPRINGFIELD
Job# 01-00039-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 718 Woodcrest Dr Spr
AssessorsMap#: 17033412
Lot: Block: Addition:
Job Number: 01 -00039-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 15900
Subdivision:
crTY oF SPRiNGF7ELD, OREGOI'
Owner: Mary Bower
Address: 718 Woodcrest Dr
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-726-1181
Springfield, OR97477
Value: $o
gas piping, fireplace insert, WH and vent
Contractor Type
MechanicalContr
Contractor
John Logue Gas Piping & Appliance*
Po Box 21214, Eugene, OR 97402-0401
Registration #
70405
Expiration Date
1111912000
Phone
541 -345-7599
Quad Area:
# Of Units:
Gonstr. 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 a1726-3769. 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
working day
Required lnspections
VN
Rough Gas
Rough Mechanical
Gas Service
lnsert
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Gode: Does not apply
Height (feet):
Proposed Units:
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-After installation.
-When all gas work is complete.
-When all mechanicalwork is complete.
:e,ephone
,Jotification
A).
Accessory:Total
following
H,SPERI\/IIT
AUTHORZEDUNDERT
Mechanical I'UU.
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Job# 01-00039-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
ApplianceVent (Not Covered in Scheduk
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
01t16t2001
01t16t2001
0111612001
0111612001
01t16t2001
01t16t2001
0111612001
4250
4250
4250
4250
4250
4250
4250
1
1
$2.00
$4.00
$.+s
$4.50
$4.50
$10.00
$1.05
$26.50
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
requ the p r time and that the project address is readable from the street.
t-"--
Date
$26.50
/ -/ L-o
1