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