The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2001-07-16Job# 01-00724-01 RESTDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Page 1 of 2 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1075 S 00039th St AssessorsMap#: 18020641 Lot: Block: Job Numbe r: 01 -007 24-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 07900 Subdivision: spr ctTY oF SPRTNGFIELD, OREGON Owner: Jason Garner Address: 1075 S 39th Street Scope Of Work: Mechanical Phone Number: City/State/Zip: New 541-747-6735 Springfleld, OR 97478 Value: $0 lnstall heat pump Contractor Type MechanicalContr Contractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Quad Area: # Of Units: Constr. Type: Water Heater: To request an inspection callthe 24 hour recording a1726-3769. 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 Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ Area (Sq. Main: - Prior to cover -When all mechanicalwork is complete. 344) NOTIOE: Heig ffi{fiettB'trtn E IF THEWORK PERMIT IS NOT# Of Stories: Current Units: Census Code: Does TH NCED OR IS O*Ot',rOOtUD FOR Accessory:Total:AI{Y 180 DAY PE HlOD I Job#-00724-001 1 Paid On Page2 of 2Fee Minimum Mechanical permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical Grand Total By signature, hereby certify 07t16t2001 07t16t2001 07t16t2001 07t16t2001 07t16t2001 Receipt# Value/eua 6158 61 58 61 58 6158 61 58 ntity Fee Amount $9.00 $.45 $6.00 $10.00 $1.0s $26.50 $26.s0 1 I state and agree that I have carefully examined the completed application and dothat all information herein is true and correct, and I further ce rtify that any and all workperformedshall be done in accordance with the Ordinances of the City of Springfield and the Laws ofthe State of Oregon. I further state that o nly contractors and employees who are in compliance withoRS 701 .055 will be used on this project.to ensure that all required inspections arerequested at proper time and that the p is readable from the street. S re I further agree roject address Mechanical 2,2,,2,/- r V{te CITY OF ORECON 225 FIrtH SIREET approval SPRINGFIELD, OREGON 97477 zonins ELE TRICAL PERHIT APPLICATION Ci ty Job Nunbe' 0 | -On>t{ rEB SCEEDUTE BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost INSPECTTON REQIIEST: OFPICE: 726-3759 Authorized Signature 1 LOCATION/ar ON 1 w DESCRI (- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto eaaress4 0 r3 +# cityEUqe ita- pi,o ,uo".,rr-.Tl ""r," e Numbe Expiration Date Constr Contr. Number Exp iration Date L) Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 arnps to 1000 amps_ Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation DEVE LO PM E NT SE RVI C ES DE PARTM ENT The following sPrr J;FTELO L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Service or Feeder One Circuit Each Additional 225 FI,trTH STREET SPR|NGFIELD, OR 97477 15411 726-3753 FAX Sum $ 8s.00 s 1s.00 $ 40.00 40.00 55.00 80.00 ee rrBrr aEove b has the tollowing zoning, and does not require specific land use LDL 6-3769 1 0olT o )TIT, B C. $ s0.00 $ 60.00 $100. 00 $130.00 $300.00 $ 40.00 $ $ $ s 00 00;,' 00 00 $ 40. s 40. $ 20. S 36. Signat sup ising Blectrician 200 amps or less 201 amps to 400 arps -Over 401 to 600 amps Over 600 amps or 1000-voTls I Ovners Address t fr Ci ty Phone 7 -b OI]NER INSTALLATION The installation is being made on property f ovn vhich is not intended for saIe, lease or rent. Oyners Signature: D. Branch Circuits Nev, Alteration or Extension Per Panel $ 3s.00 3( ame Circuit or vith Servic4 or Feeder Permi t 3 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7%, State Surcharge I 3% Administrative Fee TOTAI *J C!Er (::IF Ic] L?l}. t-.JC}rJ l_rDATE: (:)RECEIVED q 0l OF INSTALLATION <fi1 qga -\6