HomeMy WebLinkAboutPermit Mechanical 2002-01-18.Y
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Job# 02-00070-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Location Of Proposed Site: 315 00033rd St Spr
AssessorsMaP#: 17023124
Lot: Block: Addition:
Job Number: 02-00070-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 03700
Subdivision:
ctTY oF SPR1NGFfiELq OREGON
Owner:
Address:
Scope Of Work:
Contractor Type
MechanicalContr
Rex & Beverly Gates
315 33rd Street
Phone Number:
City/State/ZiP:
Addition
541-746-5745
Springfield, OR 97478
Value: $O*""f^
Contractor Registration #
Home Comfort Heating & Air Conditioning 84164
Po Box 24205, Eugene, OR 97402
Expiration Date
6125103
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy GrouP:
Heat Source:
Sq. Footage:
qs-
To request an inspection callthe 24 hour 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
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
I
Rough Mechanical
FinalMechanical
Construction TYPes:
Occupancy GrouPs
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
# Of Stories: Height (feet):
Current Units: ProPosed Units:
Census Code:Does not aPPlYi\#Tle E:
TH IS PERMIT SHALL EXPIRE IFTHE WORK
Ll:
IINDERTHIS PERMIT NOTAccessory:Total:
COfuIIVIENCED OR IS ABANDONED FOR
AI\Y lSODAYPERIOD.
Job# 02-00070-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
01t18t2002
01118t2002
01118t2002
0111812002
01118t2002
7817
7817
7817
7817
7817
$33.00
$3.60
$12.00
$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
$61.7s
performed sha
State of
ce
that only contractors and employees who are in compliance with
I further agree to ensure that all required inspections are
the address is readable from the street.
is true and correct, and I further certify
with the Ordinances of the City of Sprin
that any and allwork
gfield and the Laws of
Date
1
Signature
lfurther
on th
and
1
225 FIFTH STREET
SPzuNGFIELD, OREGON 97477
INSPECTiO
OFFICE: 72
I LOCATI3r<
EL. .RICAL PERMIT
' Cit),
i, t4 {t
$ s0.00
$ 63.00
$r63.00
$375.00
Job Number
3. COMPLETE FEE SC}IEDULE BELOW
A. Ne*' Residcntirl-Single or
Multi-Family per du'elling unit.
Service Included.LEGAL DESCRIPTION T
JOB DESCRTPTION
TION
no i,""T [":;: l;:,H l" li:3"
' Over 40i
Items Cost Sum
$ 106.00
approval
Pernrits are no rans andBit'flIt6"o sisnarure
-if u'ork is not started within 180 days
of issuance or if rvork is suspended for
2. CONTRACTOR INSTALLATION ONLYtr.: . .i
Address
Zonhg e@fZ 1000 sq.ft. or less
l')z-o >500
Olne 0r
Modular Drvelling
Service or Feeder
B. Serryiccs or Feeders .
Installittion, Aiterations or
Rclocrrtion:
-t
200 anrps or less
201 anrps to 400 amps
401 amps to 600.
601 anlps
$ r 9.00
0_
Ci I1e
Supen'i
Constr Conti
Expiration Date
Orvners Name
.of Supervising Electrician
D. Branch Circu
eo
{tt o
,rO$
CD
o
toqo
E.
Pump or rrrigation
Sign/OLr11 i ne Liglrting
Limited Energv/Res
Lirnited Energy/Comm
IVIinimum Electric Permit Inspection Fee is 545.00 * Surchlrges
4. SUBTOTALOFABOVE
77o State Surcharge
8% Administrative Fee
r{5 *
&EEF
Ci one S.rqS
3,00
c
^(,
$s0.00
s50.00
s2s.00
$45.00
TOTAL 5tns
Electricat contracropn[G0H E[[CrRl( sERVlcE
Expuation
Over amps or
"8 " abo\re
properry I