HomeMy WebLinkAboutPermit Mechanical 2002-1-11
Job# 02-00036-01
Page 1 of 2
TRANS#~01-0007743
DATE:JAN i1 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00036-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2328 Beverly St Spr
Assessors Map#: 17032722
Lot: Block: Addition:
Tax Lot #: 04800
Subdivision:
Owner: Troy Latham
Address: 2328 Beverly Street
Scope Of Work: Mechanical
Phone Number: 541-747-6887
City/State/Zip: Springfield, OR 97477
New Value: $0
Install new gas service . ~f''Rv..
f\\'\t:. . 0\
Office Use ~. x."'?\~X. ~ ~"^~ \s ~
Quad Area: Land Use: ~O""\\C ~\\ s\'\[:>.\..\.. ~<iB~Yff\~'P~
# Of Units: Zoning Code: \\,\\s?x.~ ix.DU~D:Q.~~y Group:
Constr. Type: Bedrooms: ~\\'\O~' ~Do~\'q.feat Source:
Water Heater: Range: O~,,^x.~G ..I ?x.~\i~: Footage:
r. - Dr-:'1
- 'h\'{ ,\'0\1 .
To request an inspection call the 24 hour recording at 726-3769. ~ir 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.
Gas Service
Required Inspections '\0
oU. .
I Mechanical I 0\ \\~'?,s 'i \ ,,;~~t.":l 1('\
-After line is installed and line has been connected to a1r;r;JiniRju~;:6f~h~~apRliance,
e>:CCl" " I,r~"\~.) ',,,.J' . ,.~~e, -;:<....'.... ~ ,l) ~...
\^.~\,p1( '~~(\ \)'.1 ':'. ,.., \\c,;::" f:C ?F:.it.;v.,_ "'....
~ \. " o()~ ~- (.. ..' ~. ^" ....,.. \)1
~~~, \ \ 0." + , r\O, ........1""y\'j../i:::..?' ~...., l.....H-.... <to \\':.':/-
A"-'f '(:..0,- t , ,~}:-t.....' ... ,"'~ ....... '0\' . 'he:' \.. ...., r:-~
1\.\' ..O.,~ ,..~~. ""'1'/'-"-' 0""'" \r""'~
r ,,.l ~\;,~...- r~c::"f\:tu . ),{\\",~'-" +..,.C" ~\ ' ~p..;:)'t\'-...l;., '^
",rI\\O<;'~ .~ I l\ ~-,,,. f.l<"; t ~ ,... ....,"')\~/..... ~ ~~e\''''''~. ,,:\\\O\,
,.~J" ~~{\~J~ ...:","'! <"t..' '\,'" ;.,J(.,~ :}i(\'O.. a.',!i-,C().
:~,'1;~C'()-~ ~fi"i...)V" 1~.:eC).\\t. ,...,:p'. \~~ 'i'\O\~\1.
,,-V.,," . n~',v ' 01,.;" "'<\l}I." .",",' \'.
\',.,. ,,\1\~-\ ",.. t'I'\?-'-! ''''\ \,\ ''\l','-:,'', , ,. ;J;'j'
# Of Stories: \~, or;.. '{O\:'1~!{J.~:t'(fe.~l),p\'\ "", ;,9:!t::/'t .
t:,,\C'iV. . "l~,~f;;, .- Q'tv....r.r..f'-.,J....
Current Units: av;:Jco..\~\~',qpr,o,Jios~a\Uhits:.
.... e'{"'" 1\S .
Census Code: Does not ~,.l2P'o/J Cef'W'
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Accessory:
Total:
Fee
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
Paid On Receipt#
Mechanical
01/11/2002 7743
01/11/2002 7743
01/11/2002 7743
01/11/2002 7743
Value/Quantity
Pressure tel
Fee Amount
$4,00
$41.00
$3,60
$10.00
..
Fee
Job# 02-00036-01
Paid On Receipt#
Mechanical
01/11/2002 7743
Page 2 of 2
Value/Quantity Fee Amount
State Surcharge - Mechanical
Total Mechanical
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 pro' . I further agree to ensure that all required inspections are
req~ested at the Dro~er ti nd t th project address is readable from the street.
/ ~~ /-//-0.:2-
/ ~ ......... pI./ \....,/
s~n~u~ D~e
$3,15
$61.75
$61.75