HomeMy WebLinkAboutPermit Mechanical 2002-7-18
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I Job# 02-00856-01 I
Page 1 of 2
TRANS#:Ol-0009977
DA TE : ,JUL 18 2002
AMT RECD:2 $ 185.25
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00856-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 6848 C St Spr
Assessors Map#: 17023532
lot: Block: Addition:
Tax lot #: 02300
Subdivision:
Owner:
Address:
Art Leask
6848 C Street
Phone Number: 541-726-9437
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Mechanical
Install Heat Pump
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
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Quad Area: land Use: IXr\E.\~l \O~:&>~{~U1ltti~~~~s a{e se~_~o'\~'
# Of Units: Zoning Code: 'o\\o\fl/ {U\e ~~~~paf.iey ~~eP\R 95 eS bY
Constr. Type: Bedrooms: N \\'ica\\on C~~~t>SG\ftl(ffi:~s 0' \"e fU\ e
Water Heater: Range: . 0 O~R 952-~~o~lcf~~\ . \"e \e\e?~o~\on
In - .-.. r'Oa: ~tf~e. ~ufi"...a
0090. ,0"- ecente\. .- \\\\\iW' ,..
To request an inspection call the 24 hour recording at 726-3769. All inSPEt9~i'Ollf~rmlU~E@_J1;Zr.\G02344).
a.m. will be made the same working day, inspections requested after 7:0~6~~A<ffe m~~~.tf:l~Cfbll'6~ing
working day. cen\e
Office Use
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:
# Of Stories:
Current Units:
Census Code: Does not apply
NOT\CE: EXPIRE IF 1HE WORK
1HIS PERMI1 ~~~~~ 1HIS PERMI1 IS N01
AU1HORNIZCEEDD OR IS ABANDONED FOR
COMME
ANY 160 DAY PERIOD.
Height (feet):
Proposed Units:
Total:
Fee
Job# 02-00856-01 I.
Paid On Receipt#
Mechanical
07/18/2002 9977
07/18/2002 9977
07/18/2002 9977
07/18/2002 '9977
07/18/2002 9977
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Value/Quantity
Fee Amount
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
3hp - - 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
requeste~ ~~he ::~r ti:,e./ :n~~he project address is readable from the street.
/t;u~e0 /ffr~ ' -;:/ll7u2-
SigmMre Dati"
$45.00
$3.60
$,00
$10.00
$3.15
$61.75
$61.75