HomeMy WebLinkAboutPermit Mechanical 2000-01-21Paoe 1 of 1- TRANSS:01-000012i
DfiTE:JAN 21 I00i
AHT RECD:! $ 5i.0i
CHANEE:
CASHiER:004
SPRINGFIELD
h
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 7065 00005TH St Spr
AssessonsMap#: 17033521
Lot: Block: Addition
Job Number: 00-00088-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 12100
Subdivision:
ctTY oF SPR1NGFIELD, OREGON
Owner: JODY ARNOLD
Address: 706 sTH
Scope Of Work: Kitchen
Phone Number:
City/State/Zip:
New
541-726-5952
SPRINGFIELD, OR 97477
Value: $O
INSTALL WATER HEATER AND GAS TO COOKTOP
Contractor Type
MechanicalContr
Contractor
Marshall Associated Contractors I nc
Po Box 278, Tualatin, OR 97062-0278
Registration #
63255
Expiration Date
1/16/00
Phone
503-692-1 350
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jeg
-
Land Use:
Zoning Code:
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.
Rough Gas
Rough Mechanical
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Required lnspections
Mechanical
-After line is installed and capped if not attached to an appliance.
-Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
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re
Accessory Total:
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Area (Sq.
Main:\P
I Job# 00O0088{1-L-_--'--- -_--__-_- -
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SPRINGFIELD
Job# 00-00088-01 Page 1 of 2
Job Number: 00-00088-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 12100
Subdivision:
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 7065 00005TH St Spr
AssessorsMap#: 17033521
Lot: Block: Addition:
ctTY oF SPR|NGF|ELD, OREGON
Owner: JODY ARNOLD
Address: 706 sTH
Scope Of Work: Kitchen
Phone Number:
City/State/Zip:
New
541-726-5952
SPRINGFIELD, OR 97477
Value: $0
INSTALL WATER HEATER AND GAS TO COOKTOP
Gontractor Type
MechanicalContr
Gontractor
Marshall Associated Contractors lnc
Po Box 278, Tualatin, OR 97062-0278
Registration #
63255
Expiration Date
1t16t00
Phone
503-692-1 350
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jsg
-
Land Use:
Zoning Code:
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 Inspections
Mechanical
Rough Gas
Rough Mechanical
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
-After line is installed and capped if not attached to an appliance.
-Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Main:Accessory:Total:
Job# 00-00088-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Admin istrative Fee
ApplianceVent (Not Covered in Schedul
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
1
$10.50
$.45
$4.50
$10.00
$1.05
$26.50
Grand Total $26.50
Signature Date
City of Springfield
Mechanical Permit
Status: Finaled
225Fifth Street
Springfield, Oregon 97 417
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
00-00088-01
u2y2000
U2u2000 r
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
706 00005th St Spr
1703352112100 TYPE OF WORK: New
TYPE OF USE: Residential
Scope: Mechanical, INSTALL WATER HEATER AND GAS TO
COOKTOP
OWNER/APPLICANT:
JODYARNOLD
706 5TH
SPRINGFIELD OR97477
(s4t) 726-ses
MECHAIIICAL CONTRACTOR:
Marshall Associated Contractors lnc
Po Box 278
Tualatin OR 97062
CCB # Expiration Date:
(s03) 692-13s0
Description Amount Paid Date Paid Receipt Number
To Request an inspection call the 24 hour recording at 726-3769. 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 Inspections:
By Signaturer l state and agree, that I have carefully examined the completed application and do hereby certify
that all information hereon is true and correct, and I further certiff 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 pertaining to the
work described herein. I further certify 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, that each address is readable from the street, and that the approved set of plans, if applicable, will
remain on the site at all times during construction.
Owner or Contractors Signature
Pase I of I
Date
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