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Home My WebLink AboutPermit Mechanical 2001-10-22SPRTNGFIELD Job# 01-01161-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 01-01 161-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 08200 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1157 00033rd St Spr AssessorsMap#: 17023034 Lot: Block: Addition: ctTY oF SPRINGFIELD, OREGOTV Owner: Loretta Ellison Address: 1 157 33rd St Scope Of Work: Mechanical Phone Number: Gity/State/Zip: New 541-726-0075 Springfield, OR 97478 Value: $O lnstall heat pump and air handler Contractor Type MechanicalContr Gontractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 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 at726-3769. 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 1\\e\ n9U Rough Mechanical Final Mechanical Area (Sq. Feet) Main: - Prior to cover. -When all mechanicalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units Census Gode: Does not apply Accessory:Total: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ Job# 01-01161-01 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 Mechanical 1012212001 10t2212001 1012212001 1012212001 10t2212001 1012212001 7042 7042 7042 7042 7042 7042 1 1 $25.00 $3.60 $12.00 $8.00 $10.00 $3.15 $61.7s 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 requ at the proper time and that the project address is readable from the street. $61.7s t4/ar Dat{L Sign re 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQIIEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 1 157 N 33rd Ave ELECTRTCAL PERMIT APT {TION A. New Residential-Single or Muhi-family per dwelling 0fllf 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder Zoni 0 o $106.00 $r9.00 $ $50.00 $ $63.00 $ - ftt.fr -5--.-- $125.00 .-$- $r63.00F $375.00 -$-: $5000 ..F $50.00 $ - $6e.00 -$-: $100.00 -$- - $ $43.00 $3.00 $ 43.00 00 citylob N*na", O t' Otl6 /' 0 I----TFeiollowing pro;ect as submitted has the following 3. CoMPLETE FEE scr{EDULE Tq$sff jrlo does not require specilic land use LEN- LBGAL DESCRIPTIONlaOZ 3og Lt )NUD Service Included:Authorized Signature Items Cost Sum Permits are non-transferable and expire if work is not started witrin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Confiactor JB c, rNc. Address 4685 Isabelle Street City Euoene. OR 97402 Phonel{L@ff70. Supervisor License Number 3872S Expiration Date 10t1to1 ccB Constr Contr. Number Expiration Date 10t1to1 3t14tO4 Electrician Owners Loretta Ellisom Address I 157 N 33rd City Sprinofield. OB Phone 726-0075 OWNERINSTALLATION The installation is being made on property I own which is not intonded for sale, lease or rent. Owners Sigrrature: B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. Temporary Services or Feeders 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D,Circuits New, Alteration or Extension Per Panel One Circuit I Each Additional Circuit or withGiil or Feeder Permit I E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting _ Limited Enerry/Res Limited Energy/Comm 1 $50.00 $s0.00 $25.00 $45.00 46.00 3.22 J$ $ $ 5. SIJBTOTALOFABOVE mrmiluu TYoState Surcharge 8% Administrative FeeiI],J: H]IHEU:i $3.68 JB Job #01€92 Triil;l ii li0: jiu[ r?*,i,il*n-iil : fiSi.luHl TOTAL $45.00 $52.90 JOB DESCRIPTION Het Pumo With Handler