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Home My WebLink AboutPermit Mechanical 2001-08-07SPRINGFIELD Job# 01-00828-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 1Uf fr-:tn-h A"illl I\LLU.L + I !l NAi:1UTErJnul ll"L 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 5749 Thurtston Rd Spr Assessors Map#: 17023311 Lot: Block: Addition: Job Number: 01-00828-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00114 Subdivision: crTY oF SPRTNGFIELD, OREGON Owner: Tim Epperson Address: 5749 Thurston Rd Scope Of Work: Mechanical Air handler and heat pump Phone Number: City/State/Zip: New 541-726-5684 Springfield, OR 97478 Value: $0 Contractor Type MechanicalContr Quad Area: # Of Units: Constr. Type: Water Heater: Gontractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date \r Phone 1-747-7445 Office Use Land Use: Zoning Code: Bedrooms: Range: p: To request an inspection callthe 24hour recording at726-3769. 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. 10r Area (Sq. Feet) Main:Accessory: Fee Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU 10,000 Cubic Feet or Less Mechanical lssuance # Of Stories: Current Units: Census Code: Does not Total: Paid On 0810712001 08t07t2001 08107t2001 08107t2001 08107t2001 Height (feet): Proposed Units: apply i\oa *{"-. ^ .{OU laAA) Fee Amount $25.00 $3.60 $12.00 $8.00 $10.00 6373 6373 6373 6373 6373 Mechanical Source: ohl Sq. Footage: 1\\\s \BS Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ 1 1 Job# 01-00828-01 Page? of 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical 08t07t2001 6373 $3.15 $61.75 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 project. I further agree to ensure that all required inspections are requested the proper time and that the project address is readable from the street. Sign Date $61.75 c The following project as submittec, has the foltowing 225FTPTU STREET Ioning, and /^os not require specilic IAiEILEETRICALPERM'PPLICATION SPRINGFIELD,VDL Number Of -Clo FZtr-O ( INSPECTION REQUEST: OFFICE: 726-3759 Date Authorized Signature I. LOCATION OF INSTALLATION 5749 Thurston Road COMPLETE FEE SCHEDT]LE BELOW A. New Residential-Single or Multi-Family per dwelling unit. Service Included:LEGAL DESCRIPTION t70 7- 7'7/ /O O/ IL{ JOB DESCRIPTION Heat Pump With Air Handler 3 Ton Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTORINSTALLATION ONLY Electrical Contractor JB ELECTRIC. INC. Address 4065 W I lth. #18 Items 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. 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 Only C. Temporary Services or Feeders 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit I Each Additional Circuit o.*ith-ffi or Feeder Permit I E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sigr/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTALOFABOVEMTNTIIUM $45.00 7Yo State Surcharge Cost Sum $ 19.00 $ $50.00 $ City $63.00 $75.00 $r2s.00 $163.00 $37s.00 $50.00 $ $ Eusene. OR 97402 Phone 541.687.5770 Supervisor License Number 38725 Expiration Date l0lll0l Constr Contr. Number 104929 Expiration Date 3ll4l04 Signature of Supervising Electrician Owners Tim Eooerson Address 5749 Thurston Rd City Springfield. OR 97478 Phone 726-5684 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: $ $ $ $ $50.00 $69.00 $100.00 $ $s0.00 $ .00 $$s0 $2s $45 00 00 $ $ JB Job 01-448 3\b $46.00 $3.22 $ $ 3.688% Administrative Fee c'iIrorAl. (t*52.90 $106.00 $ - $- $- $- $43.00 $ 43.00 $3.00 $ 3.00 225FIFTHSTREET APBToVEI SPRTNCFIELD, oREGoN 97 4i 7 2o" "'o I r=i Si'h,a;l'i0l.{ ltHQti BS' OFFICF: 726:j759 Authorized Signature i. LOCATIGN OF IN-ST*A: LATION 5743 THURSON RD iOts DEsclirP't't0N Service change llermits are non-transtbrable and expire if rverk is not staftcd within t 80 tlays of issuance or if work is suspended thr I 80 days. 2 (li)N',i'riAC'l'oR tNs't'ALLA't't()N 0NLy El*ctrical Coritractcr JB ELECTRIC, lNC. .{ddress 4065 tV 1'tth. #i8 City Eusene. OR 97402 Phone 54LSEZ.fiZg- Supe.rvisor Liceme Nuinber 3p72S Expiration Date 10l1ia1 The lollowing proiect as submitted has the following zoning. and does not require specilic land use ru4vlu 4lru.+ LLLLIlULro I LTUY il T LILNIIUII O /-o D gb|-A /6 COIUPLETE FEE SCF{EDLiLE EELO1V nATr " Al lf: 1 ri nt'lr'ilI'nlL.nUU I'l Lr.,'UI ,nMT tr'fl1n'rI d 1'-l-1 tr ?trr'1lll llLLU.i + -LI-LJ.J-lnunili:r, d. 1 nofl nnUl lnlluL. + IU.r',-r .'JU f,l1lfuTtrtrr ' nf)11t:l-lrrl lILlr., -ru.jA. New Residential-Single or fu{ultiFamily pcr dwclling unit. Serrice lncluded: Items Constr Contr. Nrimber +-, EO7 {\ ir.xpiration Daie .l ila !1,,1!ul rru r of Supcn ising Flcctrician ?ata]TrANanre Adiiress Cir_v Sprinofield. OR phone OWNtstt I NS t ALLA'| i()n* 'l'he installation is bein-B made on properf_v- I own which is not inteaded t?rr sale, lease or reni. Ow'ncrs Srgnaturc: 'i0Li(.) sq. ft.. or less Each additional 5110 sq. ft,lr purticn thereof Each lr{anufd Homc r.rr Modular t)*.elling Sersice or Feeder ts. Senices or l.eeders Installatio4 Alterations or Relocation. 200 amps or less 201 umps to 400 amps 40i amps tc 600 arnps 601 amps to 1000 unps Ovlr 1000 empsivolts R.qs,Jrncct Only O 'l'emporary Services or Feeders 200 arrrps or less 201 amps tc'400 emps Ovcr 40! to 60C amps Ovcr 600 amps ur 1000 r,r:its scc B atrove D. Br'srch Circ,-rits Nelr: Alte.ration (_1r Exte$sion Prr Panel One Circ.uit Eash Additional Circuit or wittrGcc: or t,eeder Permit h,, ivl i scei ianeous ( Seruiceltbeder not included ) -trach installation Itump or irrigation Sign0utlinc Lighting Limit,rd Encrg-v.rRcs Limitcd Encrg,vrCcmm Cost Sum $r06 00 $ $ l'r.00 $ $50 iiO $ $6i.00 $7s.c0 $ 125.0c $ l6:l.00 $375.00 s50 00 $ 63.00 !t .1. s $50.00 $69.00 sr00.00 $4-t.Ut., :l' $1.00 $ $50 00 s50.01] s25.00 $45.00 $- $- ,t oJ- - 5 SUBTOTALOFABO\.E i{$rrmJffi 79./o Statc Surc.hargc 896 Admini strati vc Fr.t f.Lr+ rB Job # 01-50 3 T(.}TAI 12.45 LE(iAL oo/o Ser.rice irsoo $ 63.00$ ++r 1 2