HomeMy WebLinkAboutPermit Mechanical 2000-09-19SPRINGF!ELD
Job# 00-01407-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-01407-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 16600
Subdivision:
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 761 Woodcrest Dr Spr
AssessorsMap#: 17033412
Lot: Block: Addition:
GITY OF SPR7NGFiELD, OREGON
Owner: Randy Duke
Address: 761 Woodcrest Dr
Scope Of Work: Mechanical
install log set and gas piping
Phone Number:
City/State/Zip:
New
541 -9BB-9946
Springfield, OR97477
Value: $O
Contractor Type
MechanicalContr
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Registration # Expiration Date 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 a1726-3769.
a.m. will be made the same working day, inspections requested
working day.
Required lnspectffiy
Mechanical
Rough Gas
FinalGas -When allgas work is complete.
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
NOT
COI\NMENCED
ORIS
f
I
# Of Stories:
Gurrent Units:
Census Code: Does not
Area (Sq. Feet)
Main:Accessory:Total:
Job# 00-01407-01 Page? ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanica!
09t19t2000
0911912000
09/1 9/2000
09/19/2000
09/1 9/2000
3251
3251
3251
3251
3251
1 $2.00
$13.00
$.45
$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
requested at the proper time and that the project address is readable from the street.
/",'. - 1,.2, ,/,/ !r/
Date
$26.50
7/rr7r-
Signature