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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. lTilt#;"d;14?:ffi' 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