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Home My WebLink AboutPermit Mechanical 2000-10-02SPRINGFIELD Job# 00 -01476-01 RESIDENTIAL PERMIT City Of Springfietd Community Services Division Building Safety Page 1 of 2 TRflNE$ I 01*000tt4ft ilATE:t[T 0t I00S Al{T ftE[0:I $ Ie.I* IHfti'iGE: IAEHIIFT:06]. 225 North Fifth Street Springfield, OR9747T Location Of Proposed Site: T1B OOO1Bth St Spr AssessorsMap#: 17033621 Lot: Btock: Addition: Job Number: 00-01476-01 Office:726-gt19 lnspection Line: 726-3769 Tax Lot#: 14400 Subdivision: Owner: Mrs McClaws Address: 718 18th St Scope Of Work: Mechanical Phone Number: City/State/Zip: New 541-343-2561 Springfield, OR97477 Value: $0 installation of heatpump and a/h Contractor Type MechanicalContr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Associated Heating and Air Cond PO Box 412, Eugene, OR 97440 Registration # Expiration Date Phone 541-683-2590 office use _ Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: yoLtto Utilit), ATTENTION followrules Final Mechanical Area (Sq. Feet) Main: -When all mechanicalwork is complete # Of Stories: Current Units: Census Code: Does not NOTICE: EXPIREIFTHEWORK THISPERMITISNOT ORISABANDOI\IEBFOH Accessory:Total 188DAY pEnrua, CITY OF OREGON To request an inspection call the 24 hour recording at a.m. will be made the same working day,inspections working day. Required calling the cont6r.(Note:thetelephone by Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? ! Job# 00-01476-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU 10,000 Cubic Feet or Less Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 1010212000 10t02t2000 1010212000 1010212000 10102t2000 1010212000 3348 3348 3348 3348 3348 3348 $5.00 $.+s $6.00 $4.00 $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 I be used on this project. I further to req ti that the project Date $26.50 ensure that all required inspections are readable from the street. /Oozoo 1 1 OREGONCITY OF 225 FTI:TB SIBEET approval SPRTNGEIELD, oREG0N 97477 INSPEGII0N REOI ESr. 72ffiA OFPTCE: 726-3759 The tollowrng proldct as sul'mitted has the lollowtng aon,ng otto-do.i not requlre speciftc land use _ /:rA sl.gcrRrcal, PERHTT APPIJc,arroN Zontng Autnorlzed Signature -tD 1 s v/tloo JOB Permits are non-transferable and expire if vork is not started sithin 180 'days of issuance or if vork is suspeaded'for 180 days. 2. CO}IIRACTOR INSIAIJ,ATION OIILI Electrical Contract Address An*o& Ci upervis License Number I Expiration Date constr contr. N Expiration Date umber d t^ e-, s of Supervising Electrician NaEe g-la I av).a 1(8 tg -tu t Ci ty <,PrD phor,"-l-{-h-- 8t'?.9 OIINER INSTALIATION The installation is being nade on Irop"tty I osn vhith is not intended for sa1e, lease or rent. Omers Signature: -.rTE: COHPI,STE PEE SCEEDUI.E BELOS Nev Residential-Single or Hu1ti-Family per dvelling unit- Service Included:Items Cost Each additional 500 sq. ft or portion thereof S 15.00 Each Hanuf'd Eone- or -l{odular 'Dvelling Service or Feeder . $ 40.00 -8. Services or Feeders Installation, Alterations or Relocation: 200 anps or less 201 anps to 400 "tp" -401 amps to.600 aEPs - 501'anps to 1000 atrPs- Over 1000 amps/volts - Reconnect OnlY c.Temporary Services or Feeders Insiallaiion, Alteration or Relocation 200 amps'or less 201 anis to 400 amPs -Over 401 to 600 anPs - Over 600 amPs or 1000 volts Nes, Alteration or Bxtension Per Panel I'CATION OT'1t< r) 3 At-+L Sum s s0.00 s 50.00 s100.00 $130.00 s300.00 s 40.00 S s $ s 40.00 55.00 80.00 ee t'Br aE6F Ovners Address =One Circuit Each Additional Circuit or vith or Feeder Peruri t 5. SUBTOTAL OP ABOVE 7X state Surcharge 3Z Adrninistrative Fee TOtllL $ 35-00 Service' $2.@ L L E. Hiscellaneous (Service/feeder not included) -Each installation Punp or irrigation - S Sidr/outline-Lighting- q Limited EnergY/Res $ 40.00 40.00 20.00 36.00 0-o c3 ..rl cf*{ l-rr.J i.{ al t#m:trTJlS'.. Z.Ctcf5l .CFrrl-\]F.. C] IOC) EF. (3(}[iw(='Ff'(} (3. RBCETVED O O Job Nunbe. :,O-Ol'/74 + A