HomeMy WebLinkAboutPermit Mechanical 2001-10-31SPRINGFIELD
Job# 01-01214-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Numbe r: 01 -01214-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01205
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2375 00008th St Spr
AssessorsMap#: 17032612
Lot: Block: Addition:
crrY oF SPRiNGFIELD, OREGOI'
Owner: Bert Bartunek
Address: 2375 Bth Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-747-6126
Springfield, OR 97478
Value: $O
Add heat pump and replace air handler
Contractor Type
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration # Expiration Date
\o
Phone
541-461-2101
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
'rne b'l
before 7:00
be made the following
To request an inspection call the 24 hour recording a1726-3
a.m. will be made the same working day, inspections req
working day.
Required Inspections
Mechanicat I
Rough Mechanical
FinalMechanical
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
.::*$- Prior to cover.
-When all mechanicalwork is complete
# Of Stories:
Current Units:
Census Code:Does not
i'".,i'
(Sq. Feet)
Accessory:Total
apply
its:
Contractor
James Heating
1 15 Lawrence St, Eugene, OR 97401
b'l
Main:
Job# 01-01214-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
10t31t2001
1013112001
1013112001
1013112001
1013112001
10t31t2001
7146
7146
7146
7146
7146
7146
1
1
$25.00
$3.60
$12.00
$8.00
$10.00
$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
at the proper time and that the project address is readable from the street..E\B
Signature Date
$61.7s
IO *3 i-o I
The lortowrng prolecl as submitted has the tollowtnozon' nd does nol reguire specific land use "
225FIFTHSTREET APPI' ^I
SPRINGTIEI.D, OREGON 9?477
INSPECTION
OFFICE: 726-3759
Zoning
Authorized Signature
C>o
trI.ECTRTCAL PERMIT APruCATION
-d tz -c (
LEGAL
3 FEE SCHEDT'I.E BELOW
ru0\5 1000 sq.ft. or les
narh additional 500
sq. ftcportion
thseof
EachMamtrd lloure sr
MoanarOwettine
Scrvicc orFeeder
B. ScrviesorFecd€G
tnsAUdim, AtEaisns sr
Relocation:
A NcmResfulmial-Singlc or
Muhi.family po itwefiing udl
Scryicclnchdc*
JOB
It€ms Cost Sum
_$106.00 _
s 19.00 _
s 63.00 *_ s 75.00 _
Permits are nm+raosftrable and expire
if w* is rm $arrcd wirhitr 180 dsli
6f i.esuancr orif wottis suWcafor
180 days.
2. CO}fIRACTOR INSTALLAfiON ONLY
Etecricar comracmABV
- f&&h'C_
pa^,!&Q-<V\o(
Y.-srrycrvisor Licensc II*b* 3O}1q
#espindonode
ConsrCm.l'[un$er C
Erpirafion
4
Owners (,.
INSTALLATION
The iastalatistr iE bei4g merre q1
pop€rty I owu. which is not inteodcd
for sale, leaseqrent
C' Tqcay Scryices orFeeders
IoshIdi@' Alte,ratim m RElocatim
200 mps orlccs
201 arnps to 400 arys
401 ampsto 600 anpc
601 ary to 1000 erDs
Ovcr 1000 arysfuolts'
Roconncct Onty
sI2s.00
$163.00
s37s.00
_ $ 50.00
$50-m
s69_00
s100.m
n
200 anps orless
201arysro40Orys
Orrr40f to 600 mps
Ovcr 600:rmps G lOO0rclts sceT" abovs
D. Braffnciudts
Neip Altcrairya or Etusisn per pancl
one ctucuit _!- s43.oo gr
Ea"h Additisml Cfucuit gIwi& Service AorFcederpemit t 33.00 -}]
E lvfisoetlansous (SerricarceAer nc irfuded)
-Eachiraafl*im
@ortrrigrfino $50.00
LiritedEnccgr/Res $25.00Liuitd Fegr/C$ftm $45.00
L
Mtnimum Electric perrit lnryccfion Fe is $a5.fi1+ Surcherges
5. SI}BTOTAL OF ABOI/E
lYo*eE Swc[arge
8%Aduirigretirrc Fee
Ohtr€rg Signature:
q
1.
Sigpamre of Supervisitrg Electriciao
i-ii in
r-al'::+r = ULl.f g -I
t"itl. -1 I rla!Ull. -f .L'",u