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Home My WebLink AboutPermit Mechanical 2000-08-22SPRINGFIELD Job# 00-01280-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 IRANSil:01-0001981 DATE:AUE 22 2OOO Al'lT HE[D:2 $ 26.50 IHANET: IASHIER:061 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2963 Wayside Lp Spr AssessorsMap#: 17032241 Lot: Block: Addition Job Number: 00-01 280-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 03300 Subdivision: clTY oF SPRINGFTELD, OREoON Owner: Reggie Cline Address: 2963 Wayside Lp Scope Of Work: Mechanical installation of heat pump Phone Number: City/State/Zip: New 541-744-1770 Springfield, OR97477 Value: $O Contractor Type Mechanical Contr Contractor Rons Heating & Air Conditioning 4285W 7th Ave Ste D, Eugene, OR 97402-5335 Registration # 59565 Expiration Date 312312000 Phone 541-343-6829 Quad Area: # Of Units: Constr. Type: Water Heater: To request an inspection call the 24 hour recording at 726-3769. All a.m. will be made the same working day, inspections requested working day. Required lnspections Office Use - Land Use: Zoning Code: Bedrooms: Range: -Prior to cover -When all mechanicalwork is complete # Of Stories: Current Units: Census Code: Does not a # Of Buildings u loUtc follotrvrulor Oregon lJtilitY bsareset lortl rulcsby lUmbQr fortheOregon UtilityNotilication NOTICE: THIS PERMTT SHAI.t EXpIHF lF THE trySnt" AUtlqtSlEffgP0HnEF I'H I s pE rrtrrl r ir'i t\01 cofifflaRe#lunts qBazu puN ep F0F Pp[ruv 1Bo DAY F'tirllCID Rough Mechanica! FinalMechanica! Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory:Total \ Mechanicaf..--, . I ,i Job# 00-01280-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 08t22t2000 0812212000 08t2212000 0812212000 0812212000 2981 2981 2981 2981 2981 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 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 th project address is readable from the street. Signature Date $26.s0 $-27& CITY OF !!:,!:l^:::t' t: : tT:i :"ffi [ HXiffi ,Hf [*,,. n 225 FIME STREET SPRINGTTELD, oREGoN 97417 Zonins TNSPECTION REOIIEST: OFFICE: 726-3759 AL,tnorizeo Slgnatur€ 1 LOCATION OF INSTALLATT0NLq b3 W tvstDq LooP SPRThT;FIELO ftHI ftE[D:l $40. ?0 CH*N6E [f,EHItH:0I! BI,ECTPJCAL PERTTIT APPLICATION City Job Number e -0 l:>ru .47 t DESCSIFTIONaa 4/ I aSrAo A. Nev Residential-Single orMulti-Family per dvelling unit.Service Included: ftems Cost FEE SCMDUI^E BBLOS 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or -Modular Dvelling Sertice or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 0 JOB DESCRIFTION U Permits are non-tr ferable and expireif vork is not started vithin 1B0 daysof issuance or if vork is suspended for L80 days. 2. CONTRACTOR INSTALTATION ONIY Electrical Contrac rcr Li fE: E?*ZfWC, Address a 680gqqL Ci E|/L.Phone Supervisor License Number 9 9535 Expiration Date lo/ zpao Constr Contr. Number €4t +{ Exp iration Date ?-oo Signature of trician Ovners Name /p€ Sum B 200 amps 20i. amps or less to 400 amps - s s $r $r s3 50.00 60.00 00.00 30.00 00.00 40.00 D. Address Lq b3 b trust @p llevr,,.4f; 0ne Ci ty pnon"-I_(_V-!--7 7D Each OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 401 amps to 601 amps to 1 0ver 1000 amp Reconnect O C. Temporary Servi ion, AIns talla t l&ef;.3 200 amps"or less 20L amps to 400 amps over 401 to 600 Over 600 amps o ampsr 1000 voTTs ts Circui t or Feede? E. Miscellaneous (Serv -Each installation Pump or irrigation Sign/0ut1ine Lighting- Limited Energy/Res - Limited EnergY/Comm IF $ $ ss.00 $ 80.00 see ItBtt aEove r Panel T jg' 2" included ) $ 40.00 $ 40.00 $ 20.00s 36.00$unets Signature: DATE: SUBTOTAL OT ABOVE 7% State Surcharge'il" la*:.ttistrative Eee TOTAL 6O RECEIVED B {rr) 5.