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Home My WebLink AboutPermit 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=