HomeMy WebLinkAboutPermit Mechanical 2002-03-06Job# 02-00263-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
Job Number: 02-00263-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00508
Subdivision:
SPRINGFIELD
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2777 00032nd St Spr
AssessorsMap#: 17021931
Lot: Block: Addition:
ctTY oF SPRiNGFTELD, OREGOTV
Owner: Gwyne Griffin
Address: 2777 32nd Street
Scope Of Work: Heating System
Phone Number:
City/State/Zip:
541-746-1393
Springfield, OR97477
Value: $OAddition
Contractor Type
Electrical Contr
Add heat pump to existing system
Contractor
Bryan Hurley
1153 lrving Rd, Eugene, OR 97404
Expiration Date
12t26t2003
#
Occupancy Group:
Heat Source:
Sq. Footage:
ons requested before 7:00
will be made the following
Phone
541 -688-1 608
541-484-2286Mechanical Contr Crystal Clean Air lnc
PO Box 24408, E
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour
a.m. will be made the same working day, i
working day.
Rough Electrical
Final Electrical
96
- Prior to cover.
-When all electrical work is complete
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
Rough Mechanical
FinalMechanical
Job# 02-00263-01 Page 2 oI 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
B% Admin Fee - Electrical
Tota! Electrical
0310812002
03t08t2002
03t0812002
03t08t2002
8254
8254
8254
8254
$2.00
$43.00
$3.1s
$3.60
$51.7s
Minimum Mechanical Permit
B% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
0310812002
03t0812002
0310812002
03t08t2002
03t08t2002
8254
8254
8254
8254
8254
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
Grand Total $113.s0
3-?- oZ-vt2OC-L
Signature Date
1
1
1. LOCATION OF INSTALLATION I
? -77 3/ *t sr
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:'7 26-3'7 69
OFFICE: 726-3759
LEGA DES N
JOB DES N
Items Cost
the and
Permits are non-transferable and
if work is not started within 180
of issuance or if work is suspended for
180 days.
n
Qi[l$6t."s or Feetlers
ffi,f${|iffTaEHiFTFE$ro
Lr i_liirJEi-i iHtS PEHMITISN
'zonin9exprlu$prov
davs
a\
Date
Authon
,Q
eeO Signature
ng
enice or Feeder
/ 2. CONTRACTOR INSTALLATION ONLY
Erectrical r"*r.ry{r$LJ |fuffT
Address (-20() arnps or iess
City ?wy$l vttorc 11Yo/
2()J aurps to 400 amps
401 amps to 600 amps
60 I anrps to 1000 arnps
Supen'.isor Licensc Nrunber q { 8 bB Over 1000 amps/r,oits
Reconnect Only
Expiration Dot" 1- I -O(
Constr contr. Nunrb
", )-Ll-? j-!J--OfAr-Y-Sen'ices or Feeders
Expiratiorr Date l2- 2) -O3
Signlture of Supcn'i
$/).(ru
$125.00
$163.00
*J -SAddress
OWNER INSTALLATION
The installation is being urade on
properry I olvn rvhich is not intended
for sale, lease or rent.
Liniited Energv,lR.es $25.00
Nlinimum Electric Permit Inspection Fee is S{5.00 * Surchargcs
.I. SUBTOTAL OF ABOVE L/ f
7o/o Stifie Surchitrge
8%o Administrative Fce
7f
Ot'ncrs Signature:
TOTAL SI
EL:* RICAL PERMIT APPLICATION
Citl'Job Number az-
3. COMPLETE FEE SC}IEDULE BELOW
A. Nerv Rcsidenti.rl-Single or
Multi-Family per drvelling unit.
$106.00
$ 19.00
followrulee
$50.00 _
$69.00
$100.000090. Yur
D. Branch Circuits
Neu'Alteration or Extension Per Panel
One Circuit
23
v'
Each Additionai Circuit or rvith serv'ice
or Feeder Perrnit S 3.00 _
-r7T-__-SEd_