HomeMy WebLinkAboutPermit Mechanical 2002-05-20SPRINGFIELD
Job# 02-00594-01
RESIDENTIAL PERMIT
Caty Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00594-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 01300
Subdivision:
h,
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 640 00005th St Spr
AssessorsMap#: 17033524
Lot: Block: Addition:
trq
ctrY oF SPRTNGFTELD, OREGOTV
Owner: Kelly Bluester
Address: 640 5th Street
Scope Of Work: Mechanical
Gas Freestanding Stove
Phone Number:
City/State/Zip:
Addition
541-741-4983
Springfield, OR 97477
Value: $0
Contractor Type
Mechanical Contr
Contractor
Marshalls lnc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
25790
Expiration Date
12123t2003
Phone
541-747-7445
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour 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 lnspections
Rough Gas -After line is installed and to
Gas Service -After line is installed and line h appliance. Pressure tes
FinalGas
Fina! Mechanical
NOIICE:
rtis
-When all gas work is
-When all mechanical
)tl ufit,
/V,one
ailonEA
Occ
# Of Bui RI
Y PERI
Height (feet):
#of
HandicapAccess? [
Area (Sq. Feet)
Census Code: Does not apply
Main:Accessory:Total:
Proposed Units:
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tter.
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Job# 02-00594-01 Page 2 o'f 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
05t20t2002
05t20t2002
05t20t2002
05t20t2002
05t20t2002
9147
9147
9147
9147
9147
1
$36.00
$3.60
$9 00
$10.00
$3.1 5
$61.75
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
the proper time
$61.75
a >--
and thalhe project address is readable from the street.
fu.-''-
Date