HomeMy WebLinkAboutPermit Mechanical 2001-5-25
M ,,_ J
,
"-.-. Job# 01-00538-0.1
~~'
\ I
Page 1 of 2
, TRANS#:Ol-0005532
DATE:MAY 252001
AMT RECD:2 $ 26,50
, CHANGE;
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00538-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
/
location Of Proposed Site: 3067 Hayden Bridge Rd Spr
Assessors Map#: 17021932
lot: Block: Addition:
Tax lot #: 00203
Subdivision:
Owner:
Address:
Maria Wetzel
3067 Hayden Bridge Rd
Phone Number: 541-746-8728
City/State/Zip: Springfield, OR 97478
New Value: $0
, Scope Of Work: Mechanical
Install heat pump
Contractor Type
Mechanical Contr
ATTENTION:On:;(10n Ir-lIM rt:It'lIli'ro", Hr., I ,....
Office Use fo~I?W ~ules adopted by the Oregon Utility
Notification Center. Tho~e r.IJI.Bs are set forth
in OAR 952-001-00POqtt.I~H~~le~R 952-001-
0090. ,You may obt~9t.\-JerJIPMf9,m~8ies by
callmg the centeltl~~~)'~9HrS~alephone
number for the OrS~:;1llfg~t~~~Jotification
OCIILt#li;:>j -ouu-.j\j:'::-:'::;J44j.
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, .
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
. 97478
Registration # Expiration Date
Phone
541-747-7445
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
land Use:
Zoning Code:
Bedrooms:
Range:
Required Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
"
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
NOTICE:
THiSPEHMIT SHALL EXPIRE IF THE WORK
# Of Stories: AUTHORIMelgJtt~~tTfI'S PERMIT IS NOT
Current Units: COMMEN@'!)f(dSeIfiUMtSQONED FOR
Census Code: Does 'A~r~~~ DAY PERIOD,
Total:
.,j
',,---
Job# 01-00538-011
Paid'On Receipt#
Mechanical
OS/25/20015532
OS/25/2001 5532
OS/25/2001 5532
,05/25/2001 5532
OS/25/2001 5532
Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
- ~
Page 2 of 2
Value/Quantity
Fee Amount
$9,00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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~re
requested a.2t[;(tbe proper tim~.and, that the project address is readable from the street.
~/ " ,
/J
,1...- /
Signature
, '
ti-~.p ~'
oa&