HomeMy WebLinkAboutPermit Mechanical 2002-01-25Job# 02-00091-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
SP]III{GFIELD
Job Number: 02-00091 -01
Office: 726-3759
lnspection Line: 726-3769
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1033 00003rd Pl Spr
AssessorsMap#: 17033521
Lot: Block: Addition
Tax Lot#: 04500
Subdivision:
ctTY oF sPRtNcFtELD, OREGOTV
Owner: Marla Woods
Address: 1033 3rd Pl
Scope Of Work: Heating System
Phone Number:
City/State/Zip:
New
541-746-5577
Springfleld, OR97477
Value: $O
\cllnstall HVAC system
Contractor
Marshalls lnc
4110 Olympic St, Springfield, OR
97478-5620
Contractor Type
Mechanical Contr
Phone
541-747-7445
.Gu^rt$?.to(**,,' # Ot Buildings:' oo*su. q,zi\-
i::rr3:ff1":-rr,
Office
Land Use:
Zoning Code:
Bedrooms:
Range:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. All inspections requested
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be
working day
Required
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.
N'{
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory Total
IL
Job# 02-00091-01 Page 2 ol 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
B% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
0112512002
01t25t2002
01t25t2002
0112512002
01t25t2002
7874
7874
7874
7874
7874
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.7s
Grand $61.75
//zr/.2-
o/t"
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
1033 N 3rd Pl
ELECTRICAL PERMII DLICATION
City Job Number 0k- Umlf - O
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
JOB DESCRIPTION 1000 sq. ft.. or less
Heat pump w/ handler Each additional 500
Electrical Contractor JB EL ECTRTC. lNC.
Installation, Alterations or
Relocation:
Address 4685 Street 200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
City Euqene, OR 97402 Phone-541-@9.-
Supervisor License Number 3872S
Expiration Date 10t
ccB
104929
C. Temporary Services or Feeders
Constr Contr. Number 37587C
Expiration Date 'tOtltO2 3114tQ7, ..'20-0 amps or less
amps
Signature Electrician t Cenlr
-oal-00JUgo.
Y,
_ca,/,ng
Ou may ob
ler.(4,ot the
volts see
Cost Sum
$ r 06.00 $
$ 19.00 $
$s0.00 $
$63.00 $
$75.00 $ -
$12s.00 $ -
$163.00 $ -
$37s.00 $
$s0.00 $ -
$50.00
$69.00
$100.00
$
s
$ aoo
.s1
$
$, UAR
r rules
Ce416
Owners Name
Marla Woods
Address
-1033
N 3rd
City Sprinqfield, OR 97477 Phone 746-5577
The installation is being made on
properfy I own which is not intended
forsale'leaseort""I:;'::J'"#:"'"'""1T:il#r:"'Hfi ;
Owners Sigrature: aPProval
Zoning
E. Miscellaneous (Service/feeder not included)
-Each installation
,ffi166ffiigation
tand use S-igrVOutline Lighting
-
Limited Energr/Res
Enerry/Comm
5. SUBTOTALOFABOVE miluuf,$4s.oo $
Surcharge $
8% Administrative Fee $
€/i
One Circuit
Each Additional Circuit
or Feeder Permit
Per Panel
I
or with Service
I
$43.00 $ 43.00
$3.00 $ 3.00
{-ZA4)
$s0.00
$50.00
$25.00
$45.00
$
$
$
46.00
3.22
3.68
Aurtroflzed Signature
(z-
TOTAL $
$
52.90
OAR
I
' 7i- rfi