HomeMy WebLinkAboutPermit Mechanical 2000-2-2
"
.
.
,
I Job# 00-00163-01 I
Page 1 OffuANS#:01-0000439
DATE:FEB 02 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00163-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6685 Main St Spr
Assessors Map#: 17023444
Lot: Block: Addition:
Tax Lot #: 01500
Subdivision:
~
\
Owner:
Address:
Ralph Abell
6685 Main St
Phone Number: 541-747-0815
City/StatelZip: Springfield, OR 97478
Alteration Value: $0
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Marshalls Oil and Insulation
4110 Olympic Street, Springfield, OR
97478
Registration # Expiration Date
Phone
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 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,
Rough Gas
Rough Mechanical
Final Gas
Final Mechanical
Required Inspections
I Mechanical I
-After line is installed and capped if not attached to an appliance,
- Prior to cover,
-When all gas work is complete,
-When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
,
.
.
.
Fee
Job# 00-00163-01 I
Paid On Receipt#
Mechanical
02/02/2000 439
02/02/2000 439
02/02/2000 439
02102/2000 439
02/02/2000 439
02102/2000 439
Page 2 of2
Value/Quantity Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
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
requested at the proper time and that the project address is readable from the street.
#A,d/ ),d/A.4-v' ')./~/tf'"
Signature ' 'I Date
1
$2,00
$7,00
$.45
$6,00
$10,00
$1.05
$26.50
$26.50
1