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HomeMy WebLinkAboutPermit Mechanical 2000-10-30 " . , I Job# 00-01599.01 I . Page 1 of2 TRANS#:01-0003639 DATE:QCT 30 2000 AMT RECD:2 $ 26.50 2 $ 26.50 CHANGE: CASH I ER : 059 CITY OF SPRINGFIELD~ OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00.01599-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 930 Prescott Ln Spr Assessors Map#: 17033412 Lot: Block: Addition: Owner: Address: Phil Holmes 930 Prescott Lane Scope Of Work: Mechanical Gas fireplace insert Contractor Type Mechanical Contr Tax Lot #: 09200 Subdivision: Phone Number: 541-988.1451 City/State/Zip: Springfield, OR 97477 Remodel Value: $0 Contractor Marshalls Inc 4110 Olympic St, Springfield, OR 97478-5620 Quad Area: # Of Units: Constr, Type: Water Heater: Registration # 25790 Expiration Date 12/23/01 Phone 541.747-7445 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: To request an inspection call the 24 hour recording al?,26-3.79.~,;AII inspections requested before 7:00 a.m. will be made the same working day, inspections rE3quested'after 7:00 a.m, will be made'the following working day. 7j~:.'5 :5',5t:\<i~ 5,':'f\~'- ~€,~~E;',F~ttS\VY8,~,'~ . ~~ yt":..'~pr.::7~r...l. '!,'~~\.:.p..::rl.,'I~.Qr-~_i\ttYJ~.l\rQ.t ReqUired Inspections" . .. " . ".,~,.~ , . "..i....~'f'E9 6;'~ 'O;:/!'''A'.''Q''''''''.r''R Mech~I'''' ' ~I' "" "\l~,.ll5' \'~C/l"'~., Rough Gas AN',' ','tf!,OJA'1 tl~~'Q:;), Gas Service -After line is installed and line has been connected to a minimum of one appliance. Pressure te~ Final Gas -When all gas work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ["Area (Sq. Feet) I Main: Accessory: AriC" , u follovJ[l'I~~~ ,(,I" 1[:', I. '. # Of Stories: "0"'1'" "" Height (feet): ''II 1I1 \"tr..llvl, \." ,III..." II,L'," ,H. Current Units: In OAI-~ J.).~-UlJf!':RP,OS,~,c;lJ:J!1!!S;,\. ' Census Code:~O:e:s:nO.l.apply,\: 1,,1"1, "':':', .,. , II' 'l~" '" 1 "Jl I ' ' ",ull~1 y~II,J.....Jll.......,j.\I. .~'.:~ _.~I~,(:LUI.'.:; Total: nUil11J.!nvI' ,1l..iJ,.;iJull",,::.:ly .'!uoIlcatlon ,...--... .-:- ~ ",,,-, ............ ,......." ,,\ --...-. --. _...... ...__ _"'-TI," .. .~ . Job# 00.01599-01 I Paid On Receipt# Mechanical 10/30/2000 3639 10/30/2000 3639 10/30/2000 3639 10/30/2000 3639 10/30/2000 3639 10/30/2000 3639 Fee One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Gas Fireplace Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Gran~~ JdA-/A f - , / Signature . Page 2 of 2 Value/Quantity Fee Amount 1 $2,00 $8.50 $.45 1 $4,50 $10.00 $1.05 $26,50 $26,50 /d/~<'/C" Date" I'