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HomeMy WebLinkAboutPermit Mechanical 2002-05-10Job# 02-00535-01 RESIDENTIAL PERMIT City Of Springfield Community Seruices Division Building Safety Page 1 of2 SPRINGFIELD 225 Fitth Street Springfield, OR97477 Location Of Proposed Site: 2087 00002nd St Spr AssessorsMap#: 17032624 Lot: Block: Addition: Job Number: 02-00535-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00102 Subdivision: CITY OF SPR"VGFIEL D, OREGON Owner: TerriClark Address: 2087 2nd Street Scope Of Work: Heating System Phone Number: City/State/Zip: New 541-747-7702 Springfield, OR97477 Value: $0 OTIGE:HALL EXPI RE IT THE WORK Mll ls N01 Contractor Type MechanicalContr Contractor James Heati Replace existing system with heat pum 11 s AU1 ng - Chittim Enterprises AY PERl0BrE/2005 115 Lawrence St, Eugene, OR 97401 Phone 541461-2101 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings Group: rce uPted bY i66 Ore9' a To request an inspection call the 24 hour a.m. will be made the same working day, working day. Rough Mechanical Fina! Mechanical Requ -Prior to cover. -When all mechanicalwork is complete. recording at center 1t Utiltty :007 followi ng rigthe Gonstruction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: # Of Stories: Height (feet): Current Units: Proposed Units: Gensus Gode: Does not apply Mechan Accessory Total: {! (O{-lut'" irl90 Job# 02-00535-01 Page2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 05t10t2002 05110t2002 05t10t2002 05110t2002 05t10t2002 8964 8964 8964 8964 8964 1 $33.00 $3.60 $12.00 $10.00 $3.1 5 $61.75 $6{.75 € 'tct- oz." DateSignature @ 225 FIFTH STREET SPzuNGFIELD, OREGON 97.177 INSPECTION REQLIEST: 726 OFFICE: 72 6-3'7 59 I. LOCATION OF -7 JOB DESCRIPTION Date ELI JCAL PERMIT APPLICATION Permits are non-transferable and expire iflvork is not started lvithin 180 days of issuance or if work is suspended for 2. CONTRACTOR INSTALLATION ONLY Electrical Address FEE SC}IEDULE BELOW t-A. Nerr Resitlcntill-Single or ' per du'elling unit. ded: -o 000 ft. or less ach 500ur€ thereof Each Manufd Home or Modular Drvelling Service or Feeder Cit1.J B. Serlices or Feedcrs Installation,Alterations or ft*o{ lJr Items Cost Sum $ 106.00 $ 50.00 Relocation 200 amps or less 201 aurps to 400 -101 amps 601 antps $ 75.00 $ Date Constr Contr. ders or Relocltion or amps to 400 amps Signirturc Orvners Nam Address z<sg1 of Super-t ising Electrician Over 40 1 to 600 amps Over 600 anlps or 1000 volts see "B" above D. Branch Circuits r\--a) )t Neu' rs Permit Circuit or u'ith Serv'ice ---t- 0a LlT Citl'Ph OWNER INSTALLATION The ittsttrllation is being ntade on property I orvn rvllich is not intended lor sltle. lease or rent -Each installation Pump'or irrigation Sign/Outline Liglrting Limited Energv/Res Limited EnergY/Comm lVlinimum Electric Permit InsP 1. SUBTOTALOFABOVE 7V" Stlrte Surchuge 87o Administrative Fee (Senice/feeder not included) $s0.00 $50.00 $25.00 $+5.00 cction Fee is S45,00 * Surcharges q6 1r{1 $ 3.oo { e 7-Z- 36Y Orvtre TOTAL 5zy s LEGAL zoning, and Y w'g,l Ilantr.rninr Expiration $ I9.oo _ $5o.oo --$6e.00 $100.00 -- Per Panel 3 Supen'isor Expiration I.icense Nnrnber