HomeMy WebLinkAboutPermit Mechanical 2001-12-10C'TY OF SPRINGFTELD,OREGON
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of ProPosed Site: 460
AssessorsMaP#: 17023113
Lot: Block:
Owner: Charlotte Ortiz
Address: 460 37th Street
Scope Of Work: Mechanical
Contractor TYPe
Mechanical Contr
Job#0 1 -0 1 362-01
00037th St SPr
RESIDENTTAL PERMIT
CitY Of SPringfield
CommunitY Services Division
Building SafetY
Page 1 of2
Job Number: 01-01 362-01
Office: 726-3759
lnspection Line: 726-3769
Addition:
Tax Lot#: 04301
Subdivision:
Phone Number: 541-747-4865
City/State/Zip: Springfield,OR97478
New Value: $O
lnstallfree standing natural gas stove
Contractor
Marshall's Heating
4110 Olympic Street, SPringfield, OR
97478
Registration # ExPiration Date
Ab-1q,0 t\ltslo>
Phone
541-747-7445
Office Use
-
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Goder
Bedrooms:
Range:rqfr nler. ?
# Of Buildings:
Occupancy Group:
7:00
?0 by
Ce,':r.
l'Jlr"lo
To request an inspection callthe 24 hour recording at
a.m. will be made the same working day, inspections t
working day.
g
Rough Mechanica!
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Required lnspections
Mechanical
- Prior to cover.
-When all mechanicalwork is complete
WORK
Main:Accessory:Total:
rcB
(sq.
.!./, i
ttitity
Census Code:
Job# 01-01362'01
Paid On ReceiPt#
Page 2 of 2
Value/QuantitY Fee Amount
Mechanical
Fee
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
12t1012001
12t1012001
12t1012001
1211012001
1211012001
7466
7466
7466
7466
7466
1 $4.00
$41.00
$3.60
$10.00
$3.15
$61.75
$61.7s
///.2!
Grand Total
By signature,
hereby certifY
I state and agree that I have carefully examined the comPleted application and do
that all information herein is true and correct, and I further certify that any and allwork
performed shal I be done in accordance with the Ordinan ces of the CitY of SPringfield an d the Laws of
the State of Oregon.I further state that only contractors and employees who are in com pliance with
ORS 701.055 will be used on this project'I further agree to ensure that all required inspections are
requested proper time and that the project address is readable from the street.
i' -