HomeMy WebLinkAboutPermit Mechanical 2002-4-10
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Job# 02.00409-01
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Page 1 of2
TRANS#:01-0008568
DATE: APR 10 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00409-01
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 2322 Maia Lp Spr
Assessors Map#: 17032500
Lot: Block: Addition:
Owner:
Ben Kisor
Address:
427 Sherwood Lp
Scope Of Work: Mechanical
Tax Lot #: 00204
Subdivision:Maia Park
Phone Number: 541-895-4307
City/State/Zip: Florence, OR 97438
Addition Value: $0
Gas piping to freestanding propane stove
Contractor
Marshalls Inc
4110 Olympic St, Springfield. OR
97478-5620
Land Use: # Of Buildings:
Zoning Code: Occupancy Group: Dwelling
Bedrooms: Hea,t ~!Jf;e:
Range: ~\~eP~ ,
~\.\: ~<\. ..\ .
,\!)'-' 0~ ",.;,< ~I:J'
To request an inspection call the 24 hour recording at 726-3769. All inspecli6'1\iaRi)is~Ji~~Woo
a.m. will be made the same working day, inspections requested after 7~0<f,&'(l1\~l).b'e~%1I1~ fqIlowing
working day. , \V''''~0'V\0 ,\~0'5 ~o~f", 0\ 'is' 'Io.0'V":0 #o~
. /y~\ c;1l' <,\0\' .CI'iS' 0\0 .....0\0,~\./i.\G
ReqUired I!1.SpeC(tlf b~ ,,,;.^.f' .0" .", ,- .",
'" ,,\ ^, J:J...." ~~" ~o' '~\'\.l ~"\'
I MeChltriil:a1(l."~:"~ . ~ 0'0 0\'~ o~ -U~7:"t
_ ~o'\\",?-~ ->> ~Il' C0~'10\~ [:j(;/~
-When all gas work is complete:\~O ~\)'~~QJ~0~~0 \"'....'?J
\)I:J ~~ \\0 ~0\
C {I<'Q0 (;0'<'
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Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Rough Gas
Final Gas
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Reg istration #
25790
Expiration Date
12/23/2003
Phone
541-747-7445
Office Use
Accessory Structure
# Of Stories: Height (feet):
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:
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Fee
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Mechanical Issuance
Slate Surcharge - Mechanical
Total Mechanical
Grand Total
Job# 02.00409-01
Paid On Receipt#
Mechanical
04/10/2002 8568
04/10/2002 8568
04/10/2002 8568
04/10/2002 8568
04/10/2002 8568
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Page 2 of 2
Value/Quantity
1
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~ '}} the proper time an/,thatthe ~ect address is readable from the street.
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Signature
Fee Amount
$4.00
$41.00
$3.60
$10.00
$3.15
$61.75
$61.75
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