HomeMy WebLinkAboutPermit Mechanical 2001-10-03C'TY OF SPRINGFIE,LD, OREGOTV
SPRINGFIELD
Job# 01-01087-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 of2
Job Number: 01-01 087-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot #: 05200
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2283 OOO20th St Spr
AssessorsMap#: 17032512
Lot: Block: Addition:
Owner: Delores Moore
Address: 2283 20lh Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-726-7470
Springfield, OR 97478
Value: $0
lnstall gas fireplace insert and water heater
Gontractor 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 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 the following
working day.
Required lnspections
Mechanical
Rough Gas
Rough Mechanical
FinalGas
FinalMechanical
Construction Types:
Occupancy Groups:
- Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Main:Accessory:Total
J ob#01 -01 087-0 1
Fee
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Paid On Receipt#
6892
6892
6892
6892
6892
6892
Fee Amount
One to Four Ouflets
Minimum Mechanical permit
Administrative Fee - Mechanical
Gas Fireplace
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
By signature,
hereby certify
lstate and agree that I have
the State
oRS 701
carefully examined the completed application and do
10t03t2001
10t03t2001
10t03t2001
10t03t2001
10t03t2001
10t03t2001
$4.00
$32.00
$3.60
$e.00
$10.00
$3.15
$61.75
1
1
that all information herein is true and correct, and I further certify that any and allworkperformedshall be done in accordance with the Ordinances of the City of Springfie ld and the Laws ofof Oregon. I further state that only contractors and employees who are in compliance with.055 will be used on this project.I further agree to ensure that all required inspections arerequested at the proper time and that the p roject address is readable from the street.
$61.7s
a/
Mechanical