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Home My WebLink AboutPermit Mechanical 2002-07-17SPRINGFIELD Job# 02-00831-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Page 1 of 2 m 225Fifth Street Springfield, OR97477 Location Of Proposed Site: 2600 Wayside Ln AssessonsMap#: 17032244 Lot: Block: spr Job Number: 02-00831 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 02600 Subdivision: ctTY oF SPRINGFTELD, OREoON Owner: Russ Taylor Address: 2600 Wayside Lane Scope Of Work: Heating System lnstall heat pump Phone Number: Gity/State/Zip: Addition 541-914-2718 Springfield, OR97477 Value: $0 Contractor Type ElectricalContr MechanicalContr .*,r#,T^s- Contractor Dixon Electric lnc 33736 Martin Rd, Creswell, OR 97426-9756 Chittim Enterprises 115 Lawrence St, Eugene, OR 97401 Registration # 66894 47396 Expiration Date 7t18t2003 Phone 541-895-2440 541-461-2101 Quad Area: # Of Units: Constr. Type: Water Heater: Office Land Use: Zoning Gode: Bedrooms Range: Heat Source: Heat Pump Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All a.m. willbe made working day. the same working day, inspections requested after 7 a Required before 7:00 following g{ Rough Electrical Fina! Electrical Rough Mechanical Final Mechanical -Prior to cover. -When allelectrical -Prior to cover. -When all mechanical Job# 02-00831-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Page2 ot 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 07t15t2002 07t15t2002 07t15t2002 07t15t2002 9927 9927 9927 9927 1 $2.00 $43.00 $3.1 5 $3.60 $51.75 Mechanical Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Alter/Add to ea Appl Unit or System Mechanical lssuance State Surcharge - Mechanical Total Mechanical 07t17t2002 07t17t2002 07t17t2002 07t17t2002 07t17t2002 07117t2002 9963 9963 9963 9963 9963 9963 1 1 $3.00 $3.60 $12.00 $30.00 $10.00 $3.1 5 $61.75 Grand Total $113.50 a*t7 -o<&*/r*- fuzrur"k'- Date 225 FIFTH STREET SPRINGFIELD. OREGON 97177 : TNSPECTION REQUEST' 7 26-31 69' OFFICE'. 726-3ts9 LOCATIONZ(*o OF INSTAILATIOtJflr{l..€' Citv Jo 1 3- COMPLETE has the A. Nuv Rcsidcntiirl-Single or Mtrlti-Famill' pcr dl'elling unit' Sen'ice Includetl: ELL JCAL PEfuMIT APPLICATION h Nnmtrcr 'O "L-Oo E3l- A FEE Items Cost Sum _ $106.00 , : N LN LEGAL DESCRIPTION l-7o '3 ZZtq o2660 JOB D CRIPTION Permits are l1o if rvork is not sta 180 days ofissuance or if 180 days. 1S sustr6qdo{ Date 2. CONTRACTOR ,,:t,, Electrical' Contractor ^) Address Constr 1000 sq.ft. or less rorlowi&tclt additional 500,rlf Address AS sPecitic land use sq. ft or portion thereof h Manufd Hotne or -$2 Drvelling Senice or Feeder Y B. Serlices or Feedcrs f . I\'Iiscellaneous (Sen'ice/fecdcr not included) -Each installrtion SiJt N - z-7t tr Pnmp'or irrigation : Sign/Outline Ligltting Limited Elergv/Res Liurited Energy/Comm I\Iinimum Electric Permit Inspcction Fe e 4. SUBTOTALOFABOVE 7%o St.rte Surcharge 87, Administrativc Fee irGih * Surcharges _ $50 - $so _ $25 - $45 00..-- 00.-- 00-- 00--- 7f/TOTAL -S Signrrturc Supenising Electrician tr -- $ 19.00 $ 50.00 D. Instirllation, Reloc:rtion: or Feeder Permit EXPIRE IF Circuit or ryith ANY OWNER INSTALLATION The installation is being tttade on propertl- I ou'n tvlfch is not intended for srle, lease or rent. Orvntrs Signttturc: