HomeMy WebLinkAboutPermit Mechanical 2001-11-01^1
SPRINGFIELD
Job# 01-01218-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1 196 00030th St Spr
AssessorsMap#: 17023034
Lot: Block: Addition:
Job Number: 01-01218-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01400
Subdivision:
clTY oF SPRINGFIELD, OREGON
Owner: Ramona Peterson
Address: 1192 30th Street
Scope Of Work: Mechanical
Contractor Type
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Phone Number:
City/State/Zip:
Repair
541-741-0894
Springfield, OR 97478
Value $o
Replace furnace
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Office
Land Use:
Zoning Code:
Bedrooms:
Range:
fJq
o\
{s.o Of Buitdings
Phone
541-747-7445
\6$.o\$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
Rough Mechanical
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Required Inspections
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
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,et.).to$
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# Of Stories:
Current Units:
Census Gode: Does not apply
Height (feet):
Proposed Units:
Main
(Sq. Feet)
Accessory:Total:
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\)
Job# 01-01218-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Tota! Mechanical
11t0112001
1110112001
1110112001
1110112001
11t01t2001
7152
7152
7152
7152
7152
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.7s
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
at the proper time address is readable from the street.
Signature
$61.75