HomeMy WebLinkAboutPermit Mechanical 2002-03-27SPRINGF!ELD
Job# 02-00348-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 2
Job Number: 02-00348-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 01663
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 635 S 00040th St Spr
AssessorsMap#: 17023144
Lot: Block: Addition:
ctTY oF SPRTNGFTELD, OREOON
Owner: Darin Norman
Address: 635 S 40th Street
Scope Of Work: Heating System
Phone Number:
City/State/Zip:
New
541-988-3020
Springfield, OR 97478
Value: $O
Heat pump
Gontractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection
a.m. will be made the
working day.
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
Contractor
Comfort Flow Heating
1951 Don Street, Sprin
Land U
Zoning
# Expiration Date
612712003
Of Buil dings
upancy Group:
Phone
541-726-0100
Bedrooms:
Range:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Source:
q. Footage
ing at 726-3769. All requested before 7:00
requested after 7:00 a.m.will be made the following
ired lnspections
-Prior to
-When all
Accessory Total:
Job# 02-00348-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
03t27t2002
0312712002
0312712002
0312712002
0312712002
8426
8426
8426
8426
8426
1
$33.00
$3.60
$12.00
$10.00
$3.1 s
$61.75
Grand $61.75
Date
g/o7, 2__
225 FIFTH STREET
SPzuNGFiELD. OREGON 97:t77
INSPECTION REQUEST '7 26-31 69' OFFICE'.726-37s9
ELECTRI
City Job Num
A. Nerv Residential-Single or
Multi-Family per drvelling unit.
00
sq fr
-0
'd Home or
Modular Drvelling
Service or Feeder
1. LOCATIONL3s OFt INSTAILA./ttY
-).
L EGAL DESCRIPTION7 0>3/L+4 O,/aL2
JOB ES ON
Permits are non-trrlnsferable and
if work is not started rvithin 180 days
of issuance or if work is suspended fifle
180 days.Autnotrzed
2\
aS
S\gnatu(e
Items Cost Sum
$l06.00 _-
$ 1e.00
$ s0.00
2 CONTRACTOR INSTALLATION ONLY B. Services or Feeders
a t Instlllation, Alterations or
ut( 4Lx"toc:rtion:
200 amps or less
2()l arrrps to +00 arnps
-10 I anrps to 600 amps
(r0l aurps to 1000 amps
Electrical'
Address
Expiration Date
Signature of Supen'ising Electrician
OWNER
1000 amps/volts
Orrer amps or
"8" abo\re
D. Branch Circuits
0.00
tmnil Nerv
1000
or Extension Per
One
Each Additional
or Feeder Perrnit
Circuit or *'ith So en;lcea s3.oo --
E. Nliscellaneous (Service/teeder not included)
-Each installation
Pump or irrigation $50.00 _-
Sign/Outlinc Lighting $50.00
Limited Energr',Res $25.00
Limited Energy/Comm $15.00
N'Iinimum Electric Permit Inspection Fec is S-t5.00 + Surchargcs
! t /a -<--'z)
1. SUBTOTALOFABOVE 4'/. (''
7oh StileSurchrrge -"--==77
87" Atlministrative Fce ? . ,-E
Th€ installailon is being
propefft I olvn which is
made on
not intended
.54-!:
L
Orvncrs
has
000
or Feeders . ,. : l.:;,
$ 63.00
$ 125.00
-"-' $l(r3.00
-
$375.00 _
$ s0.00 _
C.
$100.00
i $43.00 _
Orvners Signature: