HomeMy WebLinkAboutPermit Mechanical 2000-01-10Pagel ol2,_
THANB*:01"-0000202
DATE:JAN 10 2OOO
Al'lT RECD:? $ 26.50
IHANEE:
IAEHIER:042
225 North Fifth Street
Springfield, OR97477
Location Of ProPosed Site: 725
AssessorsMaP#: 17023100
Lot: Block:
Owner: Marvin LaY
Address: 87499 Cedar Flats Road
Scope Of Work: Mechanical
RePlace forced air unit
00o28th st 11 SPR
Addition:
Contractor
Marshalls Oil and lnsulation
4110 Olympic Street, Springfield, OR
97478
Office Use .-
Land Use:
Zoning Gode:
Bedrooms:
Range:
Required lnsPections
Mechanical
- Prior to cover.
-When all mechanicalwork is complete
Job Number: 00-00032-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 01880
Subdivision:
RESIDENTIAL PERMIT
Ciw Of SPringfield
commuliiW Services Division
Buiiding SafetY
Phone Number: 541'7 47 -8117
City/State/Zip: Springfield, OR 97 47 8
Repair Value: $0'00
Registration # Expiration Date Phone
Contractor TYPe
MechanicalContr
Quad Area:
# Of Units:
Constr. TYPe:
Water Heater:
# Of Buildings:
OccupancY GrouP:
Heat Source: Forced Air Electric
Sq. Footage:
To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00
a.m. raiilt be made tne's"iliJwi?-rrng A;t, i.JiJ"ii,inI-requesteo after 7:00 a.m. will be made the following
working day.
Rough Mechanical
Final Mechanical
CITY OF S PR'NGFTELD, OREGON
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORI,Main:Accessory Tota!:
AJTHORIZED UNDER THIS PERMIT IS NO
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Job# 00-00032-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
01t10t2000 0000
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.s0
Grand Tota!
Signature
$26.50
tlrclo
Date
t'
C'TY OF OFEGO'U
approval
Zonrng
225 FIFTE STREET
SPRINGFTELD, oREGoN 9
INSPECTION REQIIEST:
OFFICE: 726-3759
Signature
1. LOCATION OT INSTALI.,ATTON
1)6 A/. )*b + t I
T,EGAL DESCRTPTION
JOB DESCRIPTION
Fw rvt a tP-
Permits are non-transferable and expire
if vork is not started vithin 180.days
of issuance or if vork is suspended for
180 days. 00,-00/
2. COI{TRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address Vr>L4 \,r./.1 I th r* tq
COHPTAIB FEE SCffiDTII,E BEI.OV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
Bach additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
-Hodular.'DwelIing
Sertice or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
The tollowing proiect as submitted has the lollowing
|-tt, r1119 anri does not require specitic land use
SPRI]{GFIELI,
.B
C
D. Branch Circuits
TRAN$S:01-0000?38
DATE:JflN 13 IOOO
Al{T RECD:1 $ 1" 05
PBRHTT APpLrcArroN ,
fl-ifief?
ty Job xu v", Oa^rcAdlW,AA4
I,N[/
3
A
Sum
see |tBrt a656
Ynone C{t7ne
rvisor License Number 35fi I
Expiration D"t"
Ci ty
Supe
Cons t
Expir
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 anps to 1000 amps-
Over 1000 amps/volts
Reconnect OnIY
00
00
00
00
00
00
50
60
100
130
300
40
$
$
$
$
s
s
$
s
$
s
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 anps
-
0ver 401 to 600 anps
-
0ver 600 amps or 1000 voltsSignatElectrician
0rners
Address
Ci ty Phone 7t.t1 *ttl
r Contr. Number
Date lO D($ 40"00
s ss.00
$ 80.00
Nev, ilteration or Extension Per Panel
Oire Circui t
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting-
Limited EnergY/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
"l?oState Surcltarge
3Z Administrative Fee
TOTAL
L $ 3s.00 3s:
OITNER INSTALT.ATION
The lnstallation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
Omers Signature:
40.00
40.00
20.00
00
5
DATE:
RECEI'r'ED D
36.