HomeMy WebLinkAboutPermit Mechanical 2002-7-18
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Job# 02-00855-01
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Page"1 of 2
TRANS#:Ol-000997?
DATE:.]UL 18 2002
-AMT RECD:2 $ 185.25
CHANGE:
CASHIEH:003
SPRINGFIELD
~..,
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00855-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 3371 Watermark Dr Spr
Assessors Map#: 17021943
lot: Block: Addition:
Tax lot #: 07300
Subdivision:
Owner:
Address:
Juan Cuadros
3371 Watermark Dr
Phone Number: 541-747-7593
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Mechanical
Install, Air Co~ditioner
Contractor Type
Mechanical Contr
Contractor
Marshalls Inc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
25790
Expiration Date
12/23/2003
Phone
541-747-7445
Office Use . au to
_ ' , TlON:uregon law reqUires Y .'
land Use: AI Te.N les\R6~MUct:j~9~ Oregon Utility
Zoning Code: folloW ru O~ffMp.a.nRYs~~Qlq1i are set forth
Bedrooms: Notification ?Hee~t.~n~mrough OAR 952-001-
'n OAR 952-uJ.n-tll:1n:T . , by
Range: II I ~9'cnsUlm!lCb'pies of the ru es
nngo. You may . t-l"I""t"\^I"'O
- c IIIn9.. the center. ~NOle: 1I1~ <J "'.~ - :-
To req~est an inspection call the ~4 hour ~ecordi~g at 726-3769. All inspef'1D.~f.fjlRPtw~~eJW"~lDtO~Y Notification
a.m. will be made the same working day, inspections requested after 7:0@~~ffl:'W(~f~C?f:?r_t~.GJLlj>~'.B~44).
working day. . ._To --. .
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories: NRJi~miWSHAll EXPIRE IF THE WORK
Current Units: T~\%~~~rn~f)ER THIS PERMIT IS NOT
Census Code: Does not apPIY~~~~ENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Total:
Fee
Paid On Receipt#
Mechanical
07/18/2002 9977
07/18/2002 9977
07/18/2002 9977
07/18/2002 9977
Value/Quantity
Fee Amount
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
3hp - - 100,000 BTU
Mechanical Issuance
1
$33.00
$3.60
$12.00
$10.00
(:--.
Job# 02-00855-01 I
Paid On Receipt#
Mechanical .
07/18/2002 9977
Fee
I
State Surcharge - Mechanical .
Total Mechanical
Grand Total
Page 2 of 2
Value/Quantity
Fee Amount
$3.15
$61.75 '
.$61.75
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 ~~; ~project address is readable from the street.
Signature f/ ,!. .
7 /!ff~ "L
Dat;/ I