HomeMy WebLinkAboutPermit Mechanical 2001-08-27SPRINGFIELD
Job# 01-00928-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 01-00928-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02901
Subdivision:
,i/,u*y/
225 North Fifth Street
Springfield, AR 97477
Location Of Proroso' oite: 526 S 00003rd St Spr
Assesscrs l',1rpii: 17uJ3533
Lot: Block: Addition
ctTY oF SPRTNGFIELD, OREGOTV
Owner:
Address:
Scope CI \^/ori
Larry Fitch
526 S 3rd Street
l.'lc^h'rnical
Phone Number:
City/State/Zip:
New
541-746-1907
Springfield, OR97477
Value: $O
11?:' -'rmp
Contractor Type
Mechanical Contr
Corr i r"actor
Cen':rl Valley Air
83C'.'alleywood, Salem, OR 97306
Registration #
127032
Expiration Date
211512002
Phone
503-932-8304
Quad Arca:
# Of Units:
Constr. Type
Water H. rt r
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request 31 i^ePg6t''
a.m. will be madc th^
working day.
^ll the 24 hour recording at726-3769. All inspections requested before 7:00
, working day, inspections requested after 7:00 a.m. will be made the following
Required lnspections
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Gurrent Units: ProPosed Units:
Census Code: Does not aPPIY
Rough M'ehanieal
Final Mo ,- ' ':rl
Construction Tirpes:
Occupancy Groups:
# Of Buildings:
# Of Bedroorns:
Handicap Access? f
Main:,^ ^^?ssory:Total
0090
ff\ot 001-
l\es
r€ G@'
ilDut cet
r{0TlcE:
iu,s ornont r SHALL
Job# 01-00928-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum l.4ech:rnical Permit
Administ:rli',tl':a - l' ''anical
Lessthan 1t I r.00 Blrl
Mechanical ir . rrlcc
State Surchrr-r-,;e - ['"'1c'' "^ical
Total Mechanicrl
0812712001
08t2712001
08t27t2001
0812712001
08t27t2001
6544
6544
6544
6544
6544
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
Grand T' ,
By signal .- | '"1r r'- ' .gr€e that I have carefully examined the completed application and do
hereby c. :r/ 'i '| " : -nration herein is true and correct, and lfurther certify that any and allwork
performr r accordance with the Ordinances of the City of Springfield and the Laws of
the Stati r.lr state that only contractors and employees who are in compliance with
ORS 70;on this I further agree to ensure that all required inspections are
project address is readable from the street.requestc 'e
$61.75
,tr-"1 ,2e /a
Signatu Date
1
The tollowing project as submitted has the lollowingzor' and does not require specific land use
225 FIFTH STREET APL AI
ry*r
LEGAL DESCRTPTION
JOB DESCRIPTIO
Address
ces or Feeders
Instirllation, Altcrations or
o/
A. Nen'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Drvelliug
Service or Feeder
200 amps or less
201 arnps to 400
401 amps to 600
0l amps
1000
2
Over 600 amps
"B" abo\re
E.
N'Iinimunr Electric
4. SUBTOTALOFABOVE
77o State Surchtrge
8Yo A dministrative
Multi-Family per dwelling unit.
Service Included:
Items Cost
$ 106.00
Pennits are non-transferable explre
if work is not started u,ithin i80 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B. Servi
Electrical'<-Jl.-ud Relocation
A-N
0*
amps
City
Sr"rpen'isor
Date
of Supcnising Electrician
Phone
ection Fee is 545.00 + Surch
4
TOTAL
Fce
1
INSPECTiON
OFFICE: 726-3159
Authoriaed Signature
OF
ELE; T TUCAL PERMIT APPLICATION
Job ;6S r-C5r
SC}IEDULE BELOW
$ r 9.00
$ 50.00 _
$ 75.00 _
$ 125.00
$375.00
$ 50.00
a
D. Branch Circuits
Nerv Alteration or Extension Per
One Circuit $43.00
Each Additional Circuit or tr ith Service
or FeederPerrnit ? S:.OO--G
Hsprratlon
Reconnect Only
C. Temporary Scn'ices or Feeders
Expiration ^o
OWNER INSTALLATION
The installation is being niade on
property I olvn lvhich is not intended
flor sule. Iease or rent.
Orvncrs Signature.
g?L -
"n2 a
-5ca