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HomeMy WebLinkAboutPermit Mechanical 2001-7-24 " ' , ~ Job# 01-00778-01 . Page 1 of 2 TRANS#:Ol-0006231 DATE:jUL 24 2001 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 061 RESIDENTIAL PERMIT City'Of Springfield Community Services Division Building Safety Job Number: 01-00778-01 225 North Fifth Street Springfield, OR 97477 'Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2750 Villa Way Spr Assessors Map#: 17032333 Lot: Block: Addition: Tax Lot#: 00203 Subdivision: Owner: Address: Tom Montgomery 2750Villa Way Phone Number: 541-747-5255 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical Install propane fp'in'sert Contractor Type Mechanical Contr Contractor Marshalls, Heating 4110 Olympic Street, Springfield, OR 97478 .' Office Use , B30 ^ -.qC Ot! ~ ^~'{j Quad Area: Land Use: CO\ ~eh~1}i1ai~~~~ # Of Units: Zoning Code: 3NOmN~N S\ ~~cypancY'G\r~~p: Constr. Type: Bedrooms: 'dO:! a d S\\.U.. 'd3~Qt 'Source: Water Heater: 'Range: 1.0N S\ 1.\\N'd3 :1',.\\d~3 "'\S-4~fFoot,age: M :3\11. J\ ,- . To request an inspection call the 24 hour recording at 726-3~ 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, Registration #. Expiration Date Phone 541-747-7445 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Required Inspections . M h . I ..r...,.... . ec amca ..\. sd:~:".I""" \.l,.\f1\J P' t - "",<;,c-OO'3 . , jO' laQ - nor 0 cover. . t\1VCZc,-v'"'''' oe.10 aL\~ f UI\\-eO -When all mechanical work is complete. \}\\oN ,,\\\\\fi tlOt~ "jaWao aL\\ 6 ~ '0600 U~~~~da\a\ aL\\~~~~~ U\-e\Qo ,,-e~;;6 'd"O U\ {..O. sa\nl aL\\ }O s 6nOJI,.\\ 0 \;00'" ~~'J uon-eonnON ... ~00"'Z96 'd"~a~nl aso\.\l' l~~p-e sa\I\J MO\\O} l.\\.IO} \as ~~~ajO al.\\ {..Q pa~~O""NO\lN311" {..\\\\\H~i~91:M.e'et)~.-e\ u06 0\ t'J9roposed Units: # Of Stories: Current Units: Census Code: Does not apply Rough Mechanical Final Mechanical Accessory: Total: ., Job# 01-00778-01 Paid On ..Receipt# Mechanical 07/24/2001 6231 07/24/2001 . 6231 07/24/20016231 07/24/2001 6231 07/24/2001 6231 Page 2 of 2 '-" . Fee Value/Quantity Fee Amount I Minimum Mechanical ~ermit Administrative Fee - Mechanical Gas Fireplace .' Mechanical Issuance State Surcharge - Mechanic(ll Total Mechanical 1 $10,50 $.45 $4.50 $10.00 $1,05 $26.50 $26.50 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 r~;Z:;;;::'d ;;:;;;iect address is re.ada~le from the street <; bl/ 101 Signatufe U -- Dati, \