HomeMy WebLinkAboutPermit Building 2002-11-20
.
.
City of Springfield
Mechanical Permit
D~f~~"" ft
~~~~,.
~~".
Status'. Issued I . t." ' IUI\:.Vfegofllaw ri:l4UII"" yvu 'v
h , ." UtTt PERMIT NO .
follow rules adopted by the Oregon II y ..
225 Fifth Street Notification Center. Those rules are setfortt ISSUED:
Springfield, Oregon 97477 on OAR 952-001-0010 through OAR 952-001- APPLIED:
541-726-3759 Phone ,1090. You may obtain copies of the rules b)'
54 I -726-3676 Fax calling the center. (Note: the telepho~e n EXPIRES:
541-726-3769 Inspection Uili€1ber for the Oregon Utility Notlflcatlo
r<>rtp' ;< 1-Rnn-332-2344).
MEC2002-00 116
11/20/2002
11/20/2002
5/20/2003
SITE ADDRESS: 901 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342400224
Springfield
R-i- TYPE OF WORK:
1.~~ ~r:s~~,\ TYPE OF USE:
Add gas insert :fi~~ ~ ~~'\ '~~
:-' \. ~"'t\c;, ~~~~ ~
~\~'t;. ~'\ 'O~~'\)~'<" ~~~"MECHANICAL CONTRACTOR:
~~ '!;, '?~~ ~t~~ ~~ ~ &)'\). MIDGLEYS
'\~~'\~~~~~~~~ ~~~ 1678 WEST 7TH AVENUE
~ ~~ '\)~ EUGENE OR 97402
\,~~~ \'O~ CCB # 19364 Expiration Date: 10/20/2003
Addition
Residential
PROJECT DESCRIPTION:
OWNER! APPLI CANT:
BARBER THOMAS W TE
901 DIAMOND ST
SPRINGFIELD OR 97477
541-343-1131
+ 7% State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Gas Fireplace
Minimum! Adjustments - Mech
Amount Paid Date Paid Reeeint Num her Cashier
3.15 11120/2002 1200200000000000268 IIh
3.60 11/20/2002 1200200000000000268 IIh
10.00 11/20/2002 1200200000000000268 IIh
15.00 11120/2002 1200200000000000268 IIh
30.00 11/20/2002 1200200000000000268 IIh
Desc riotion
To Request an inspection call the 24 hour recording at 726-37~?, All inspections requested before 7:00 a.m. will be made
the same working day, inspections requested after 7 :00 a.m. will be made the following working day.
Reauired Insllections:
1 Rough Gas: After line is installed and capped if not attached to an appliance.
2 Final Gas: When all gas work is complete.
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certifY that all
information hereon is true and correct, and I fur1her 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 pertaining to the work described herein. I
further certifY that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I
fur1her agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
-;t.d~{,1:oti~U I D:!- fr'lA 2<;, d mJ^2---
1 of 1