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Home My WebLink AboutPermit Mechanical 2000-06-29SPRIiIGFIELD Job# 00-01024-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 TRANE$:01-000?38i DATE:JUN 2? ?OOO AHT REED:2 $ 26.50 CHANEE: CASHIER:061 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2316 00015th St Spr AssessorsMap#: 17032522 Lot: BIock: Addition Job Number: 00-01024-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 01200 Subdivision: ctTY oF SPRINGFIELD, OREGON Owner: Betty Schiele Address: 2316 1sth St Scope Of Work: Mechanical install heat pump Phone Number: City/State/Zip: New 541-744-0757 Springfield, OR97477 Value: $0 Gontractor Type MechanicalContr Contractor Marshall's Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Mechanica! cal:ri lrlmb Rough Mechanical FinalMechanicat Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? - Prior to cover. -When all mechanicalwork is complete # Of Stories: Current Units: Gensus Code: Does not apply ffifnffg*): ffltspEffiil'f'$fi :ru- expr Rr. rF'r"HI": ! \rcnr (sq.AUTHORIZED UNDER THIS PERMIT I$ NOI COMMENCED OR IS ABANDONED FOHMain:Accessory:Total Job# 00-01024-01 Page2 ot 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 06t29t2000 0612912000 0612912000 06t29t2000 0612912000 2382 2382 2382 2382 2382 1 $9.00 $.+s $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 at the proper time and that the project address is readable from the street. $26.50 //zr/,-' , n '?, Sasnatdf-- vl oat( OnecoruC,ITY OF SPR apProval Zoning 225 FIFTH STREBT sPRrNGFrELD, oREGoN 97477ate fNSPECf,ION REQUEST:. 726;$l6Qed sisnature OFFICE: 726-3759 (L- -on PERHIT APPLICATTON Job Nunber (f0- 0 lof4- Pr 3. COHPI,SIE FEE SCEEDUI,E BELOS A Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded: Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or - Modular Dvelling Sertice or Feeder s 8s.00 $ 1s.00 $ 40.00 SPR-. -r:FIEL(, Services or FeedersInstallation, Alterationsor ReLocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps-over 1000 amps/voIts - Reconnect Only 0n, t:ilT"},.l'JJ:f ::?H:S"*"'il'l;"':'Llt''n 1. LOCATION OF ZJt/- /,4- fu INSTALLATTONsf LEGAL DESCRTFIION 11 o3 2q a'L D I }6-D JOB DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 1B0 daysof issuance or if work is suspended for 180 days. 2. COI{TRACTOR TNSTALI,.ATION ONI,Y Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Address ,d Ci ty Phone ?,yl -OZ,<? OVNER INSTA.LLATION The installation is being made onproperty I ovn vhich is not intended ;,i-i-i r,i,fP-r,lsaIe' lease or rent. :13 0s'8r 000i DATE: C. Temporary Services or FeedersInstallation, Alteration or Relocation D. Branch Circuits E 200 amps"or less $ 40.00201 amps to 400 amps - $ 55.000ver 401 to 600 amps - $ B0.OO0ver 600 amps or 1000-to1Ts see "Bu a66iE- Sum B SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAI, s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 Sas,4 4<-l. o> $ a( ' ..--? New, Alteration or Extension per panel Each Additional Circuit or vith Serviceor Feeder permit _ $ Z.OO Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited Energy/Res - Limi ted Energy,/Comm s 40.00 $ 40.00 $ 20.00 s 36.00iiqi RBCETVED 5