HomeMy WebLinkAboutPermit Mechanical 2001-12-17
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Job# 01-01383-01
Page 1 of 2
TRANS#~Ol-0007530
DATE:DEC 17 2001
AMi RECD:2 $ 61,75
CHANGE:
CASHIER:061
SPRINGFIELD
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01383-01
225 North Fifth Street
, Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1325 Modoc St Spr
Assessors Map#: 17033622
lot: Block: Addition:
Tax lot #: 02400
Subdivision:
Owner: Peggy Bridges Phone Number: 541-726-4096
Address: 1325Modoc Street City/State/Zip: Springfi~~~~477'
Scope Of Work: Mechanical Alteration /' ~\c;~<a
!?~<<; rv<0~ ~O<0
Install new gas furnace, gas piping and watel:,h.eater b..\y~~~~c;~o~~<0
r:;;;v 6."':>''\ ~~\' o..~~'"
Contractor Type, Contractor ~O"\~ ~i~~{~~'1:xPiration Date Phone
Mechanical Contr Marshalls Inc "\~c;~ ~~<\)O<(\ ~d~\2/23/2001 541-747-7445
4110 Olympic St, Springfield, OR ~"\~ ~~~G ~~<()
97478-5620 CP~t ....'0\)<0 '
Office Use ~~
Rough Gas
Rough Mechanical
Final Gas
Final Mechanical.
Quad Area: land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: Sq;Footage:
r-,,\}. ""',",\
, s'l-- "Z\"" 1'(\
To req~est an inspection call the .24 hour ~ecordi~g at 726-3769. All inspect~.Q~S'!.x~'jtJ~iJeq~~ef?re 7:0~
a.m. will be made the same working day, inspections requested after 7:00,\€l('r:!lCWtll~~eTt!.51ge!t.l.e\followlng
working day. ,.0,.\'0. >\c;:.'<J ,eCb to...<0 Qj ~~0v ..,
(' ,J A' (\.), or 0 \. ~'"
. f"!,q;.-:J ",6 ~ .c..e' n'<' 10 ~ <\~o .,o<\'
ReqUired Inspectlon~\;. <"v;:." ov'V" v e'.""";,(;,P-
.. ,p" ,'::P'. ~, \e~ '3 ~ ~~
Mecl:!~lJic,~Jco'~ -;<\-.et ~'\~.,',vo~ 0'~ ...\~O~.
_ \~ '. .\ 1S-- Cj"" ",,'oJ, ~iJ>" _'o~. '~~~f"l,?:>bi
,,- 'o~~ . 0'0 ,,$:) 00 . ~~ ^ v ('1;(,-
- Prior to cover. ~d;". iJ'Y- <"....'?:\J ~ ~0.... <'.Q'" n..,1'?:Jc"
." .~\.v qp ~'lJ: e{,' .e"!i (y"
- When all gas work is comp~~~ r?-<?'- 0"-> e v eO' \'co\:,~
-When all mechanical work is\QO~ei~\~~O~~ '!,...'-f-J
<)<:s ~'\ 0~\ ~,\e
C ~:(;j 00
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap'Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Heigh~ (feet):
Proposed Units:
Total:
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Job# 01-01383-01
Page 2 of 2
Fee
Paid On Receipt#
Mechanical
12/17/2001 7530
12/17/2001 7530
12/17/2001 7530
12/17/2001 , 7530
12/17/2001 7530
12/17/2001 7530
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
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
requ~pted t th. e prop.er ;:e a~ ;"t the project address is readable from the street.
///~ /' J-//7/~(
Sign re / ' Date / /
$4,00
$29.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75