HomeMy WebLinkAboutPermit Mechanical 2000-07-25Job# 00-01156-01
RESIDENTIAL PERMIT
Gaty Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPR' :FIELI-:
225 Norih Fifth Street
Springfir:ld, OR 97477
Locatior Of Prolr:sed Site: 2407 00017th St Spr
Assessr:rs Map#: 17032434
Lot: Block: Addition
Job Number: 00-01 1 56-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00327
Subdivision:
clTY oF sPRrNcFtELD, OREGON
Owner: Dan Terrel
Address: 2407 17th Sl
Scope Of Work: N/echanical
Phone Number:
City/State/Zip:
New
541-744-9019
Springfield, OR97477
Value: $0
install air handler and heat pump
Contrac',,1r Type
Mechanical Contr'
Contractor
James Heating
115 Lawrence St, Eugene, OR 97401
Registration # Expiration Date Phone
Quad li-aa:
#OfUr s:
Constr. i ype
Water I ,:ater
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
youto
t 0llty
To requ.- st an inspection call the 24 hour recording al726-3769.
a.m. wili 5e made the same working day, inspections requested
working clay.
Required I
Mechanical
calllr€theenter.lhe
CenErisl
Rough H:chanical
FinalMechanicai
Construction Types:
Occupancy Groups:
# Of Bui!'lings:
# Of Beci.ooms:
Handican Access? l
-Prior to cover.
-When all mechanicalwork is complete.
NOTICE:
# of stories: Tl-lftPfiR$I"t IALLEXPIRE IFTHEWORK
current Units: aupt@EfiiullltBERTHls PERIVIIT ls NoT
CENSUS COdE: DOES NOt APPBOMIINENCED OR IS ABANDONED FOR
Accessory:Total:
ANYlSODAYPERIODArea (i,q. Feeti
Main:
Job# 00-01 156-01
Paid On Receip#
Page 2 of 2
Fee Value/Quantity Fee Amount
Minimunr Mechanical Permit
Mechan i ;al Admin istrative Fee
Less tha,r 100,000 BTU
10,000 (lubic Feet or Less
Mechan ral lssuance
State Suicharge For Mechanical Permit
Total Mcchanical
07t25t2000
07t25t2000
07t25t2000
07t25t2000
07t25t2000
07t25t2000
$5.00
$.4s
$6.00
$4.00
$10.00
$1.05
$26.50
2672
2672
2672
2672
2672
2672
1
1
Mechanical
Grand"j-rtal
By sign:rlure, I state and agree that I have carefully examined the completed application and do
hereby : rrtify that ail information herein is true and correct, and I further certify that any and all work
perforrn, d shall be done In accordance with the Ordinances of the City of Springfleld and the Laws of
the Stat,, of Oregorr I further state that only contractors and employees who are in compliance with
ORS 7C' 055 will be used on this project. I further agree to ensure that all required inspections are
request'. 1 at the proper time and that the project address is readable from the street.
Signature Date
$26.s0
7-ZS-c2e
-?Je
Date
225 FIPTS STREET Authorrzecj Srgnature
SPFJNGFIELD, OREGON 97477
INSPECTION REQIESTz 726-3769
OFFICE: 726*3759
1. LOCATIOH OP INSTALIATION
! qo-r n ,'l +h
LEGAL DE5CRIPTION
t -7032q jLt
L.o r rc .ItlB DESCRIPTtr'N
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1.80 days.
2. COiITRACTOR INSTA.LIdTTON ONLY
Elec t ri cal Con trac to..[t}O_61 eLFr-
AdC res s
city Cf4tLu+&-. rhone fr?,?2tflO
sup ervisor License r'rumber .J11
Expi ra t i on Da t e__/?:L:_Of
Constr Contr. Nunber /rlrgq q
Expiration Date --7- 18:O/
s ture of Supervis t ri cian
Cvne flle
Address Z o1 a+u
Ci ty Phone a41-?Ot 7
OUI{ER INSTALLATION
The installation is being marle onpropel-ty f ovn vhich is not intended
!,ot sale, lease or ):ent.
Omers Signature;
DATE:O
sPt{rt,a(ifrlrts.Ll:,
CTRICAL PERI{IT APPLICATION
Ci ty Job NumberOo - Ol I e-7 -o I
COHPLETE FEE SCIIEDULE BELOU
Nev Residencial-Single or
Multi-Family per dvelJ-ing unit.
Service Included:Items Cost
zoning, and does not
approval
Zoning
(/
3
A
c>o3Z-7 5um
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00"
s 60.00
s100.00
s130. 00
,c300.00
$ &0.00
C Temporary Services or Feeders
InstalLation, Alteration or Relocation
200 amps"cr iess $ 40.
201 amps to 400 amps -- $ 55.
Over 40L to 600 amps -- S 80.
0ver 600 amps or i000 voT[s see "aETe-
00
00
00
Bt,
_35_
l
D. Bra,nch Circui.ts
llev, Alteration or Extension Per Panel
oneCircuit I $35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permi.t , $ 2.OO
E. I'liscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Light ing-
Limited EnergyiRes
SUBTOTAL OF ABOVE
f 5L State Surcirarge
$
D
$
40
20
40
I)
4q= il--0F =HtrT__PE;
t'J i- Fr
6
5 o
(:)
?b7 91 32 A,dmrnrstraiive Fee
TOTAt,+\.RBCEIVED SY:\,<6'
200 amp-s or less
201. amps to 400 amps .-_
401 amps to 600 atnps __601 amps to L000 anrps_-_
0r'er 1"000 amps/vo1ts
Reconnec t OnIy
RECEIPT *: