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HomeMy WebLinkAboutPermit Mechanical 2002-4-22 ; t'~ ' J , . . I Job# 02-00461-01 I . "' Page 1 of 2 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00461-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3725 Assessors Map#: 18020613 Lot: Block: Jasper Rd Spr Tax Lot #: 06800 Owner: Claud Herndon. 3725 Jasper Rd. Addition: Subdivision: ,w '"' 'v 'v ~ ",.,., ,~nill 0\:.1 ~v A1TE;:I'lIIU'~'V'~~":'- - he Oregon UtllllY Phone Numbewr. ru~.1Uc.?9,.0::1iO'l>Y t set loon tOIlO + T):l.\l,se rules are CitY/StatpgiP:;ati(sp'F1l\'~fi8/JltOiRr8~~~lVAR 952-001- New in OAR 952-00 V~luerin ($OJies of the rules by 0090. you ma, Note' the telephone calling the cen~:~ ( on Uiility Notification number!Or:~~,~ L~nn-::\32-2344). Address: Scope Of Work: Mechanical New forced air heat pump. "",,,,,on__ -'. Contractor Type Mechanical Contr Contractor Dean Heating and Air 4301 Main, Springfield, OR 97478 Registration # 133733 Expiration Date 2/23/2003 Phone 541-767-0626 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: Heat Source: Water Heater: Range: '. I'-C' Sq. Footage: ..'l..J1 - . ._, yl.Jl"'\n., " c'. liT SHALL E)(PIHl:: 11- 1 ~l . To request an inspection call the 24 hour recording at 726-3769. All iilibpe&ions reque~~d.before 7:00 a.m. will be made the same working day, inspections requested after At90,a:m; will be'mliile the following" working day. , _ ') ("J 1-, \~' ,: l[.\J1 ;...u run CUI'~" .. Required InspectionsANY lOUUt'I" ;-:f.18~- Mechanical I Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: D :3: -f -0:::::1:::0 DD a:!--1~ 0..# C":I aD.. I> ..-00 (,0 N;!JI---L ::c I 1-I("""J(:t3.NO mI l"..JO ;:ODe'" a .- Zj--Lr-..)co QG1- ocr-. I--LfTl-.,JOCO 1-...1... t.J"1f'.JC) ~~ i .J . Job# 02-00461-01 . Page 2 of 2 Fee r Paid On Receipt# Mechanical 04/22/2002 8680 04/22/2002 8680 04/22/2002 8680 04/22/2002 8680 04/22/2002 8680 Value/Quantity Fee Amount Minimum Mechanical Permit 8% Administrative Fee - Mechanical 10,000 Cubic Feet or Less Mechanical Issuance 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 roject. further agree to ensure that all required inspections are reqrr~~n hat th roO ct address is readable from the street. 1 / ZZ ,..-O~ Signature Date 1 $37.00 $3.60 $8.00 $10.00 $3.15 $61.75 $61.75 190:1J3IH8\j3 :39N\!H3 06' Z!j $ Z: G331J lfj\j . ZOOZ WA\!fj:31\jG \:U8000~ 10: #8N\j1Jl' , '. , . " r' \ " ;" I ',\ , '" .".' ,.. If''.'. . , " , '. :';.' I. . I I }, I.; '. '. ~ .: ,:.1,:: '" I, , . l - '22.,FIFTIiSTREET~.. '" - ,. ,.-. -.. ,,- .. ;), .' \ . , ~,\ t . 'I ~ t . '\'! ' : \ : SPRINGFIELD, OREGON 97477 i', :, ;! .., r, ,.. l .~ ::INSfECTIONREQlWsT: 726.37,69-.::;-'llS:-'lTi ; Cii/JOh~';mher o2-ooLf{,(~OI" ; I 'OFFICE: 726.3759, . : I' i' II ., "I '; i I I'; I.. .. . !. i -' ; ! " ,: I .' ;.: \ it.:.':! :T~~;~llllin l-r-~ :3'.COMPLETE FEE'S!=HEDULE BELOW': . / I ;1. LOCATI9.N OF INSTAL~"'1lllillNg,:arld~eo~ehb~~:u~ml<<edhasth~fOllowin9' . .. :3 ')~S". ')~.~' f2oa:J ~ approval- ,---- A. Wc{,~~~fHI!h'iln!l!ll\llgle or -.-..... ---..------ .... . /tOZ06/3 065"00 ZOning toIL Multi-Family per dwelling unit. LIJ.GA" DESCRIPTION 0.,. ~ ~ 1-0 'Z- ~cmcc ;".:..Ied: Ke<,~ Qe!-o:> I Items Cost q<-.,0 ELE_CAL"PERMlT APPLICATION. ;' ,', ,.~. ~: Sum '......\Il\.mzeo :Signature JOB DESCRIPTIO\, "1000 sq.ft. or less' A-.Ul~ ;L O<w1(J\ C! ,fr.C.c.J.I""";b" Each additioual 500 'fVl''''''''~!, ~ \ -\eo..r. eU\~ (,OPt- J '3otl- .. sq. ft or portion Permits arc non.transferable and expire Lc..\...:\,J ,n f'11::,l.,'il' thereof if work is not started within 180 days ~<V\(e- ,Each ManuI'd Home or of issuance or if work is suspended for Modnlar Dwelling 180 days. Service or Feeder $106.00 , $ 19.00 , ,,~.. : ! ! , .' 'J :.' . . $ 50.00 2' 2. CONTRACTOR INSTALLATION ONLY B. Se,'\"ices or Feeders '.' . ] . --= /J Installation, Alterations or. . " Electrical" COllt~acto~ {Z,...","" C!t"cJ ~YtQf;" Relocation: j"" . . ,~ " Address 4'~/~'-3 <blJ~re \t?J}'." 200 ampsorles/'. " .' c;: ~~~i:~~~, _',' '/II /0'07\7';>' '.. 201 amps to 400 amps ~.$75.00_. CIl)'l>iI<-.4r~I..ILt..PllOne qt9'-71dy......... '\ .401 amps to 600 amps 'w :~$125.00~: .. "\ \. , Cijr{./' r.,(~....... '(,01 amps t6100p.alllJl''S'".\", " $163.00 " ! I ' ",,\l'-'" U\\"" - ,"-. SupervIsor License Number ,,~\ L.<:::', OverslQOO nmR~voltS ~\ot\'n. ~ $375.00 ~ IJ ". '. . \O\,,'.OR~'5Jil.fil19rllis;lese .\)Il" $ 50.00 Expiration Date "2 - D ~ - <:.?... . ji\;'tt'C~~ ~ au09\6 '!'nose N\ 0ji\;e9~~ s '0'1 ~ ~.' n ~. \0\\0'1'1 'it\ 'FS!llliii'la{t ~\\6Iie~ o~ '!\c'M~'r~(\a '-Constr ,(:ontr Number ',..-L 00 ex::.. 'o~il\Ca\l"..lJ!'Jtilll\1~olll\~ICl.?tj~,!,j.fR<!i~eali!,n "', -_~ . . \~ .Q9;J~ 0'<to,'3\ ~e'.W'<1. ~I\ca.\'v. .'-., -................ . '1)01;"" U,~'3'1 . 1.~~0 "\\\'1\,\0 . ">ExpiratLOnDale q -b?-~~O~ \OQ9Q.~0 \'ne&OO\~Wj~orl~~g~.2;Y;A). , . ~-C!!\\\I)\\ lot 'J0151,\,P,3ji14oO'amps Sign,..lure ~f.~uJlervising Electrician I)U~'Oe cat~",o;401 10600 amps. '.' " .. O\"er 600 amps or 1000 volts see _, )..~:,.:#P~ !lB" ab~)r"~- ......- \ . <: .Cr' . '0- D. Branch Circuits Addre~n '\~ \Z;~ f? ~ . One Circuit ',,\!, \~ ""~ ,10. ~n'\ .$43.00 _ "--H"- ,- ~T .' " ': ., ~\t-~'~~~'~ . City (n.cIJ'.1ff 'Phone ?;;){.p - (( Or; O,\t~':~i.Wl~~\~"l~~~_If~~I'\'ice . ~. ~ ?~yo}lF',\~~~i.!o.f>,\\~~ ~ $ 3.00 ~ OWNER INSTALLATION ' , 'i.'(.\~ @~~t~\J Qv. ~ IW The installation is being made on ~i.~~~~I'O~""feeder not included) property I O\\'I~ whIch is' not tntended CQ~ 1l,,~~"l;llsroli~tioh. . . for sale. lease or reht. f>,\\'i \'l"ump or irngation . _ $50.00 '-- , Sign/Outhne Lighting $50.00 Limited Energ)"IRes $25.00 Limited Energy/Conlln" $45.00' .,'., ..: $50.00.. .: $69"09 ~ $100.00 ~, 'o'Yl1ci"s Signature: I\linimum.Elcctric PCI:mit Inspection Fcc is 545.00+ Surcharges rib . 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrati\'e Fee""" 3z2: 1{J 527.0 TOTAL "-... ~ .,~ TRANS#:01-0008773 DATE: MAY 01 2002 AMT RECD:2 $ 52.90 CHANGE: CASHIER:061 . .