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Home My WebLink AboutPermit Mechanical 2001-02-15ST GFIELD DEVELOPMENT TMENT project as submitted has the followtng 225 FIFTt| STREET SP,S/IVG'Fii, D. OR 9/477 54i t 726-3753 ,94..", ,5r i 725 3599o\- 225 FTFTH STREET SPRINGFIELD' ORXGON 97477 Zonins INSPECTION REQIIBST:769 -o OFFICE: 726-3759 Authorized Signature 1.oN0 INSTATLATION ELECTRICAL PERHIT APPTICATION ci ty Job Nunber Ol - OO I 3 Z-ol FEE SCEEDI'LE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost The zoning, and does approval. not require ,-D{L specitic land use ON A B JOB DESCRT Electrical Contracto eaaress4 I -/f +# cit Supervi License Numbe 133rc Electrician Phone 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -401 amps to 600 amPS --601 amps to 1000 amPs- Over 1000 amPs/volts --Reconnect 0n1Y SumI Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALLATION ONLY $ 8s.00 s 1s.00 $ 40.00 130.00 300.00 40. 00 )nT 50 60 001 $ s $ s $ $ $ $ $ $ 00 00 00 Expiration Date Constr Contr. N Expiration Date Signature 0vners Name Address Ci ty INST C TemporarY Services or Feeders Insiallaiion, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 600 amPs - $ 80'00 Over 600 amps or 1000 voT[s see rtB, above Branch Circuits Nev, Alteration or Extension Per Panel 35 q9 W*, # QOq p dd,-]ffi--L.l ." Ft:fsn."6qr= umber D ON One Circuit Each Additionaf $ 3s.00 Circuit or vith Service or Peeder Permit $ 2.00 E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited EnergY/Res --Limited EnergY/Comm SUBTOTAL OF ABOVE 7%, state Surcharge 32 Administrative Fee TOTAL The installation is being made on property I ovn vhich is not intended for sale, Iease or rent' Orners Signature: 40 40 20 36 DATE: RECEIVED () L1Z.-O o L{ 5 ?) rJ5b pnoniis7-,sVl) SPRINGFIELD Job# 01-00132-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 2 €n 225 North Fifth Street Springfield, OR97477 Locati:ir Of Proposed Site: 3888 Osage St Spr AssessorsMap#: 18020614 Lot: Block: Addition: Job Number: 01-00132-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 13300 Subdivision : Jasper Park ctTY oF SPR7NGF7ELD, OREGOTV Owner: Duane Clark Address: 3BBB Osage St Scope Of Work: Mechanical hvac install Phone Number: Gity/State/Zip: New 541-431-2461 Springfield, OR 97478 Value: $O Contractor Type Mechanical Contr Contractor Marshalls lnc 4110 Olympic St, Springfield, OR 97478-5620 Registration # 25790 Expiration Date 12t23t2001 Phone 541-747-7445 Quad Area: # Of Units: Constr. Type: Water l-ieater: 1 (VN) Wood Frame Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: OccupancyGroup: Dwelling Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769 a.m. will be made the same working day, inspections requested working day. , All inspections requested before 7:00 after 7:00 a.m. will be made the following Required lnspections Mechanicat Rougl: l.,echanica! Final i,,"clranica! Construction Types(VN) Wood Frame Occupa n cy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? ! Arer (Sq. F Mairt: -Prior to cover. -When all mechanicalwork is complete. NOTICE: Store # Of Stories: Current Units: Census Code: New SF - Height (feet): Proposed Units:1 AYPERIOD Accessory:Tota!: detached Job# 01-00132-0'l Page 2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum lVechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0211512001 0211512001 0211512001 02115t2001 02115t2001 4453 4453 4453 4453 4453 1 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 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 perfirrnred shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the i'iate of Oregon. I further state that only contractors and employees who are in compliance with OR: ; 01 .055 will be used on this project. I further agree to ensure that all required inspections are req ucsted at the proper time and that the project address is readable from the street. $26.s0 zffir Sign dt"