HomeMy WebLinkAboutPermit Mechanical 2001-10-24SPRINGFIELD
Job# 01-01178-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 01-01 178-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 15600
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1432 Modoc St Spr
Assessors Map#: 17032533
Lot: Block: Addition
crTY oF SPRINGFIELD, OREoON
Owner: Jean Brownlee
Address: 1432 Modoc Street
Scope Of Work: Mechanical
install electric furnace
Phone Number:
City/State/Zip:
New
541 -9B8-3245
Springfield, OR97477
Value: $O
Contractor Type
ElectricalContr
MechanicalContr
Contractor
K S Electric
PO Box 24933, Eugene, OR 97402
Comfort Flow
1951 Don Street, Springfield, OR97477
Registration # Expiration Date Phone
541-688-1614
541-726-0100
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. 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.
Required lnspections
Mechanical
Rough Mechanical
Final Mechanical
Gonstruction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
- Prior to cover.
-When all mechanicalwork is complete
# Of Stories: Height (feet):
Current Units: Proposed Units
Gensus Code: Does not apply
Accessory:Total
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
Job# 01-01178-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
[/echanical lssuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
10t24t2001
10t24t2001
1012412001
10t24t2001
1012412001
7081
7081
7081
7081
7081
$33.00
$3.60
$12.00
$10.00
$3.1 s
$61.7s
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
1.055 will be used on this project. I further agree to ensure that all required inspections are
at time and that the project address is readable from the street.
Signature Date
$61.7s
1
itted has
o
LEGAL DESCRIPTION
l1o 3 z;3 3
Permits are non-trarsferable and expire
iflvork is not started rvithin 180 days
of issuance
180 days.
2
Electrical
Address
Date
rvork is suspended for
TALLATION ONLY B. Services or Feeders
Installttion, Alter
Relocation
200 amps or
201 arups to 4
401 amps
I amps
Over
"8" abolre
D. Branch
Nerv'
70h s
8Vo
Residenti
Multi-Family per drvelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
not inclu
+Su
5@
o/;@
JOB DESCRIPTION
Cost
$ 106.00
$ 19.00
$ s0.00
hJ i Q-L- fr ^rLilkt-
sl
TOTAL
tion Fee Utsiao
9t >
Th.
225 FIFTH STREET
SPzuNGFIELD,
INSPECTiON REQUEST:
726-3'/59
JCAL PERMIT APPLICATION
SCHEDULE BELOW
U
Sum