HomeMy WebLinkAboutPermit Mechanical 2019-11-141yl r EI IrlIT Al,TIUA ]IUII
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This permit is issued under OAR 9lsuspended for Ig0 days.
8-440-0050' Permits expire if work is not started within Ig0 days of issuance or if work is
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Date:q,
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EI Residential D Governnrent E Commercial
INFORMATIOJOBSITE N AND TIONLOCAfrJob site address:/o
City:ih State:ZIP:
Reference;
D ESCRIPTION OF WORK
PROPERTY OWNER
Name:
Address:
ZIP:
1
E-mail:
This installation me or
licensing
ORS
Stale: g
Fax:
co NTRAGTOR ALLAINST TION
name:Business I
Address 0 l
City: y: uqa<
-State:
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Fari:
CCB license no.
Phone
E-mail
Print name:
Signature:
FEE scH ED ULE
Residentiat Qfy.
ducts ventstolBTU/hr.
Over l00k BT'U/hr,$2s.oo $
Unit hcaler $22.00 $
stove/llue $52.00 s
cooler $18.00 $Vent fan rvith one d ance $r3.00 $
withHood andexhaust duct $18.00 $
One to four outlets $
Additional outlcts $s.30 $
$15.00 $
Over 10.000 CFM s2s,00 $
to3 100k BTIJ I $22.00 $
to l5 I]TU $40.00 $
1o 30 BTI.-I $s9.oo $
to 50 I.750 BTU $76.00 $
Over 50 750 BTu S128.oo $
Domestic incinerator $25.00 $
totalEnter luationva of rnechanical system
installationand Scosts
etc.l'eeEnter onbased ofvaluation mechanical $
Miscellaneous fees
$99.00 $
requcsled $99.00 $
$18.00 s
Each additional : (l)$9s.00 $
(A) Enter subtotal ofabove fees (or enter set
fee o1'$0k
(B)lbe $
$
Seismic fee. l7o(.01 x )$
Fee (5% ofT S
TOTAL fees and surcharges (A s
Last edited 7/l/20llt biones
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C TY OF s PRI N G FI E oLD,REG 0 N
Taxlot.:
a
Up to 10.000 CFM
Cost
ea.
Reinspection
Specialll,
Regulated equipment (unclassed)
(C) Enter l2% surcharge (.12 x [A+Bl)