HomeMy WebLinkAboutPermit Mechanical 2001-10-19SPRINGFIELD
Job# 01-01151-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 01-01 1 51-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00400
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1032 00006th St Spr
AssessorsMap#: 17033521
Lot: Block: Addition:
crTY oF SPRiNGFIELD, OREGON
Owner: Nancy Phillips
Address: 1032 6th Street
Scope Of Work: Mechanical
lnstall HP and air handler
Phone Number:
City/State/Zip:
New
541-682-4141
Springfield, OR97477
Value: $0
Contractor Type
MechanicalContr
Contractor
Home Comfort Heating
706 Oscar Street, Eugene, OR 97402
Registration # Expiration Date
84164 61112003
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection call the 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 I
Rough Mechanical
Final Mechanica!
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
Job# 01-01151-01 Page 2 of 2
Fee Paid On Receipt#Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
10t19t2001
10119t2001
10t19t2001
10t19t2001
1011912001
1011912001
7024
7024
7024
7024
7024
7024
$25.00
$3.60
$12.00
$8.00
$10.00
$3.15
$61.75
1
1
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the address is readable from the street.
Signature Date
$61.75
,/a -,/?-a/
225 FIFTH STREET Zw' rlOQ
ollowing pro,ect as submitted has the lollowing
A. NewResirlcntial-Sinliior '' ':r'::i: ' ;;
Multi-Family per dn,elling unit.
Service Includetl:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
tirereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
ts. Scrviccs or Feeders
Installation, Alterations
a does nqt requ
126-316
LEGAL DESCRIPTIONFto33sz-( Do46a
Permits are non-transferable and expire
if rvork is not started within 180 days
ofissuance or ifwork is suspended for
180 days. .:,i
'f ilr '
2. CONTR.ACTOR. IJ{SI'ALLATION ONLY
Items Cost Su{n
$ 106.00
_ $ 19.00
$ 50.00
Elecrrical conrractorste0il BEfiltc stRUlcE Relocation
Address 200 amps or
201 amps to
Ci 401 amps
601 amps
Supen'10
a
Exprration
Constr Conir
iration Date' Exp
,Sign Supervising Electrician
i'. Owners N
Address
Over U
"B" abo\re
l'
OWNER INSTALLATION
The installation is being made on
intended
Each Additional Circuit or rvith Service V
or Feeder Permit I S :.oa$e1
E. Miscellnneous (Scrvice/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energv/Res
Limited EnergY/Comm
Nlinimum Electric Permit InsP
4, SUBTOTALOFABOVE
7%o St:rte Surcharge
8%o Administrative Fee
-
$50.00
-
$50.00
$25.00
_ s45.00
-ection Fce is S45.00 + Surcharges
1{.#
-1 664b
\U
TOTAL =-<L90
land
LOCATION oF'
/ a-qs
JOB DESCRIPTIONsA-&^-. -HPe.A-K