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HomeMy WebLinkAboutPermit Mechanical 2002-4-10 -- , . /~ Job# 02.00409-01 . Page 1 of2 TRANS#:01-0008568 DATE: APR 10 2002 AMT RECD:2 $ 61.75 CHANGE: CASHIER:061 , 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 ~ 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'<' ~<S 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: ~ . -' 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 . 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. --J7/Lrdwt ~LX~J7YJ ,-" () /'-' Signature Fee Amount $4.00 $41.00 $3.60 $10.00 $3.15 $61.75 $61.75 C/hDIm DatJ