HomeMy WebLinkAboutPermit Mechanical 2000-10-03Job# 00-01484-01
RESlDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
SPRINGFIELD
Page 1 of2
TRAi-IXS:0i-0003364
DftIt:[[T 0] ?000
Al'lT REID:Z $ ?6.50
CHANGT:
IASHIER:061
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 473 0004BTH ST Spr
AssessorsMap#: 17023200
Lot: Block: Addition:
Job Number: 00-01484-01
Office: 726-3759
!nspection Line: 726-3769
Tax Lot#: 01800
Subdivision: Lynn Lee Estates
ctTY oF SPR;NGFTELD, OREGO^
Owner: Jeanette Cahill
Address: 3573 Cherokee Dr
Scope Of Work: Mechanical
install heat pump
Phone Number:
City/State/Zip:
New
541-746-0622
Springfield, OR 97478
Value: $O
Contractor Type
MechanicalContr
Gontractor
Home Comfort Heating & Air Condit*
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
6t25t2001
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
OccupancyGroup: Dwelling
Heat Source:
To request an inspection call the 24 hour recording a1726-3769.
a.m. will be made the same working day, inspections requested
working day.
Required
rl, ltst\i,
You mayobtai OABncoFiesof
-Pn^.
TH,S
Rough Mechanical
Final Mechanical
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
- Prior to cover.
-When all mechanicalwork is complete.
the
Mechanicil Cenlpt;...,
Accessory
# Of Stories:
Current Units:
Census Code: New Mfg
Main:Accessory:Total:ANY,SODA
Y
tJ,\.
UNDER
OB,SAI
Job# 00-01484-01 Page2 ot2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
10/03/2000
10/03/2000
1010312000
10/03/2000
1010312000
3364
3364
3364
3364
3364
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
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 proper time and that readable from the street.
Date
$26.50
/O-3-oo
225 FT'tfH STRXET -- Authorized Signature
SPRTNGFTELD, oREGoN 9741 /
INSPECTION REQIIEST z 726-3169
OFPICE: 726-3759
$terroN
3. COHPIJTE FEE SCEEDT'I.E BELOIT
A. New Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:
2 -o--D
f\u)ET.CAL PERHIT APPLICATION
Ci ty Job Number 00 ,clq?\,al
I tems
201 amPs to 400 amps ---
40L amPs to 600 amPS --601 arnPs 'to 1000 amps--
,,,, Over' 100O amPs/volts
,'.: Reconnect On}Y ; '
approval
Zoning
Date
LD /-
'the
zoning. and does nol requi ie specific land us
SF GFIELE!
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Admini.s trative Fee
TOTAL
DATE:0CT 1? 2000
flt{T RE[D:? $ ]8.50
CHANEE:' IAEHIER:05?to.- I
L T
LEGAL DESCRTPTION
7() a-I 3700 troo Cos t
$ Bs.oo
)ni$ 1s.00
t,
$ 40.00
$ 2.00
00
00
00
Sum
a6ovE-
Permits are non-transferable and expire
ii rott is not started vithin 1B0 days
;; i;;;r;ce or if vork is susPended for
1.80 days.
2. COMRACTOR INSTALT.ATION ONLY
J PTION
Electrical Contracto
Address 1!*
Ci ty Phone
Supervisor License Numb €fr )-tt .S
Expiration Date
Constr CoIitr. I'lumber
Expiration Date
Signature p ervising Electrician
1OO0 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home' or
Modular Dwelling
Service or Feeder
B. Services or Feedert
--i- ^.i Installation, Alterations
-1 i ,(' or Relocation:
TemporarY Services of 'Feeders
i""i"ff"ilon, Alteration or Relocation
200 amps'"or less $ 40
,oi ;;; to 4oo amps ---- t ::
over 4b1 to 600 amPS _---- $ 8u
Over 600 amPS or 1000 volts see
s s0.00
s 60.00
$100. 00
$130.00
$300.00
s 40.00
00
00
00
rBil
D. Branch Circuits
Nev,Alteration or Extension Per Panel
I s 3s.oo &-&
Jo0vners
Address
Ci ty
ame
OVNER ALIATION
Phone 'b*D6 ila
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
E. IliscelLaneous (Service/feeder not included)
The installation is being made on
piop"tty I ovn r,'hich is not intended
for sa1e, lease or rent'
0rners Signature:
-Each ins tal-lation
Pump or irrigation
sigh/outline Lighting.--
Limited EnergY/Res ---Limited EnergY/Comm
$(
$
$
40.
40.
20.
36.00
5
DATE: lA
RECETYED B
>-oO
35-00
--o0- 733
r9(r Vot
C.
0=