HomeMy WebLinkAboutPermit Mechanical 2001-11-26
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Job# 01-01299-01
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Page 1 of 2
TRANS#:01-0007327
DATE:NOV 26 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
"
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01299-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 743 Laksonen Lp Spr
Assessors Map#: 17023523
Lot: Block: Addition:
Tax Lot #: 01100
Subdivision:
Owner:
Lisa Clawson
Phone Number: 541-741-0578
Scope Of Work: Heating System
City/State/Zip: Springfield. OR 97478
Value: $OO<(\~
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r<- '51 "'~' .,,~
...-fS" ~~' ~'-
Registration #~"EX~IRt!l~ate
25Z~' ~<;'<'-~~~~~'&'D1 541.747.7445
O~ f<,~~ ~~ ((:{<>
~ ~"o'( ,\\<?-~<<-~o..G~O~'
.,\" (b-- ~,
Office Use {' O~~ 'i:J~'if-
Land Use: CJ ;:\.,~ # Of Buildings:
Zoning Code: ~ Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:' ~
.. - ..('\"' .i
To request an inspection call the 24 hour recording at 726.3769. All inspections reques\~ij!b~fci~~f~~"-\
a.m. will be made the same working day, inspections requested after 7:00 a.m. will;be,(.ma,getthe follo~!ig_~
working day, "o~ 'O~" \~ ~Or.~0 ,r $>"
r;:..fbOJJ 0\0 \)~0 ~<$ 0'. ~0 .'""v
Required Inspections _':' ')~ ~ 'l!;'~ Q', '"", ,'\.
Mechanical '1' ~() ~0\' ~c:, _0. '. "~,,..,
-' ",0'" 0<:' ~<:;) ~ ,~. v'-, ;,/
-Prior to cover. _ "';;> ~Q~~, (p'<".",~ ~'5v
-When all mechanical work is complet'ii,~O\J$>~~'j; ~~" (l$.0<.<()~'O<:;)t;;:{
"I ,,~.. 0'" 0',' ","
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743 Laksonen Loop
Address:
Repair
HVAC
Contractor Type
Mechanical Contr
Contractor
Phone
Marshalls Inc
4110 Olympic St, Springfield, OR
97478-5620
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
-
..
,/
Fee
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand~k~
Signa(uM I
Job# 01-01299-01
Paid On Receipt#
Mechanical
11/26/2001 7327
11/26/2001 7327
11/26/2001 7327
11/26/2001 7327
11/26/2001 7327
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Page 2 of2
Value/Quantity Fee Amount
I
$33.00
$3.60
1 $12.00
$10.00
$3.15
$61.75
$61.75
JI/2-~/ d(
oJfe
0'- 225 folFTH STREET The following pr.s submitted has the fOMwrRlCAL PERMi.L1CATION
SPRINGFIELD, OREG0Ni9174'1')d does nof reqUire speCIfiC land use .
INSPECTION REQUES'fprn~~3769 L- D~ City Job Number (J [ - (') I ~ '1- 0 /
OFFICE: 726-3759 ZOning
Dafe \ 'd-\ \110\ 3. ::;::l;I'!I'tt'fE FEE SCHEDULE BELOW
I. LOCATION OF INSA~;rJ~natur~ 1 1117
743 Laksonen Lp --6A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
1.1. O~. 7,,5 .a~ 1\ Ob Items Cost Sum
JOB DESCRIPTION
Heat pump w/ handler reconnect
1000 sq. fin or less
Each additional 500
sq. fi or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00 $
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$19.00 $
$50.00 $
Electrical Contractor JB ELECTRIC. INC.
B. Services or Feeders
Installation, Alterations or
Relocation:
2. CONTRACTOR INSTALLATION ONLY
Address 4685 Isabelle Street
200 amps or less $63.00 $
201 amps to 400 amps $75.00 $
401 amps to 600 amps $125.00 $
601 amps to 1000 amps' $163.00 $
Supervisor License Number 38728 Over 1000 amps/volts .,'1 '. "S375.00i. $,.. . -.
NOTICE: 'Fll< Reconnect Onfy .. ......, ~$50:00' $' ._
EXPiratio'l'ReP.aw.~I-lALLEXP1ReIFtH~WO ' .v.. -\'U'w ",,; ~lL'....
AlITl-lORIZE~UNDERTHIS PIjFlMet IS NOc. Temporary Services or Feeders ',. w cC vI .:,'- ,. (1t
ConstrCdnTr.l\j'umbeJ. 75fF~ fNtJt'~W.1~29'q , "".' '.: ..." t 1
COMMENLil: Un'''''.....n ~ . - .:' "" 1 L" " no:.'
. 4 rr'
Expiratiorflilll(e1(10 DA\1lJf.iRl2lD. 3/14/04 200 amps or less C_,,'.. :J . .8Cw :J~-$50.00' $
201 amps to 400 amps $69.00 $
Over 401 to 600 amps $100.00 $
Over 600 amps or 1000 volts see
B above
$
City Eucene. OR 97402 Phone 541.687.5770
Signature of Supervising Electrician
~,"l____~ d,._
:::\ame
D. Branch Circuits
New, Alteration or Extension Per Panel
Lisa Clawson
Address 743 Laksonen Lo
City Sorincfield. OR 97418 Phone 741-0578
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
$43.00 $ 43.00
$3.00 $ 3.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
$50.00 $
$50.00 $
$25.00 $
$45.00 $
Owners Signature:
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
$45,00 $
$
$
46.00
3.22
3.68'
JB Job # 01-786
TOTAL
$
52.90