HomeMy WebLinkAboutPermit Mechanical 2000-12-18
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Job# 00-01798-01
Page 1 of 2
TRANS#:01-0004059
DATE:DEC 18 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01798-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 890 Aspen St Spr
Assessors Map#: 17033422
lot: Block: Addition:
Tax lot #: 00600
Subdivision:
Owner:
Marilyn Lynch
890 Aspen St
Phone Number: 541-726-8009
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical.
boiler and radiators
Contractor Type
Mechanical Contr
Contractor
Marshalls Inc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
25790
Expiration Date
12/23/2001
Phone
541-747-7445
Office Use
Quad Area: land Use: # Of Buildings:
# Of Units: Zoning Code: """'ENTION:OregC'~9J~.IJPai1'C'yrGr.bllp~.O
Constr. Type: Bedrooms' A, I d ~ c...~a'f'Sourcel;)n Utility
W t H t . R .' followrulS$1l ?ple S ,; "E' ....t-"".:esetforth
a er ea er. ange. I ~III B,tlonCemer.i..g~ .00 age. 1'\01-
1\ rill C~ _.. -.._l.-t"\J\OQl;?-\J
. . R 952-0Q"l-UU I U 1IIlVIol~" ..... .. . - .
To req~est an inspection call the .24 hour ~ecordi~g at 726-37~~~I!'~~1W?mj.9r.J.sJ~e~~.este~a).~eYr~;~~o~e~ by
a.m. Will be made the,same working day, inspections requesteaJafteril~:oglg.m.){WJ.!lf.b\eJr:m'ade,,;me'2fO!IQ~Rg
working day. callb: yO"the Oregon Utility Notlflcatlon
nut\1 ~r I " . ,,'1 "1"?-2344'.
Required ,Irspections ~:~~~',..."" i.P\, I,,-uv_ I
Mechanl~al._
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:
Total:
#
Job# 00-01798-01
Page 2 of 2
Fee
Paid On . Receipt#
Mechanical
12/18/2000 4059
12/18/2000 4059
12/18/2000 4059
12/18/2000 4059
12/18/2000 4059
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
3hp -- 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
$9.00
$.45
$6.00
$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
requeste~~~;~rOject address is readable from the street
Signature po I
I ;//f~?/'
Datel I