HomeMy WebLinkAboutPermit Mechanical 2001-08-23SPRINGFTELD
225 No(h Fifth Street
Springf;-|4, OR 97477
Locatior 'f Proposed Site: 1321
Assess,; - Llap#: 17023034
Lot: Block:
Owner: Ben Shipp
Address: 1319 34th St
Scope Cf '.f.'crk: Mechanical
AC
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Buitding Safety
Job# 01 -00919-01
00034th St Spr
Addition:
Job Number: 01-0091 9-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 09201
Subdivision:
541-726-7100
Springfield, OR 97478
Value: $O
h,
Phone Number:
City/State/Zip:
New
Contractcr Type
Mechanical Contr
Contractor
James Heating
'115 Lawrence St, Eugene, OR 91401
Registration # Expiration Date phone
Quad A:'s::
# Of Units:
Constr. T',pe:
Water li . :rr:
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To reqtnri :n inspection callthe 24hour recording a1726-3769. Allinspections requesied 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 dav.
Rough I,'r:hanical
Final M;-, ;r,cal
Constn: 't::n Types:
Occuper-:7 Groups:
# Of BuilCings:
# Of Becli"o,-rms:
Handicap Access?
Required lnspections
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
# Of Stories:
Current Units:
Census Code: Does not
\$*
c,F{
Accessory Total
ap
Area (.' '. i-
Main:
Page 1 of 2
AHT RECT:? $ e]..?i
tHAilGt=
[ASHitF:; i]r,1
CITY OF OREGON
J'
Y.$'(
Fee
Job#01 I Page 2 of2
Minimum l,lechanical Permit
Administrelive Fee - Mechanical
Less tha:r 100,000 BTU
Mechanical lssuance
State Surcharge - ftlechanical
Total Mechanical
Paid On
08t23t2001
08t23t2001
08t23t2001
08t2312001
08t2312001
Receipt#
651 B
6518
651 B
6s1 I
651 B
ValuelQuantity Fee Amount
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
Mechanical
@p2n6l l. i rl
By signal r:c, I state and agree that I have carefully examined the completed application and do
[6r.5v c ,: ,y that all inforilation herein is true and correct, and I further certify that qny and all work
ferrorir, r:r1 be done in accordance with the ordinances of the City of Springfield and the Laws of
the Stat -)regon. L furtner state that only contractors and employees who are in. compliance with
ORS 7" : -, will be used on this project. ifurther agree to ensure that all required inspections are
request,-.. : ihe proper time and tnaf tne project address is readable from the street'
$61.75
8 -L7-o\
Date
1
ilifl y*t #p{t4&IJI SffiyrCSS SEPAfi ?-lt#trFj T -'4
5$lFBth3{}FtEa.{}
one Cireuit I S
Each Additional
Circuit or vith Service
or Feeder Permit $
A t'l ? 29 Eft Emf sS,.'16'I i-i 5
,sFAi/N;], riLI (lf[flHii.i.$E :
ffflEfl{fEFfi{i:}
F;4,{ iSJ i j .7i70.:r[i$.rj
vt3
SPBMGEIEIJ, ORBGON 9747funins and
INSPECIION RBOUESI: 726wllf8gt l/D\
lr\
225 TIrIH STREET The
0FEICE: 726-3759
DI
1 I.OCATION OPt3Z\zLl Signature:
I,EGAL DESCRIEIION
1a oz 3d 3L(O1Zo1
JOB DBSCRTPTIONo ClA(r.-t-f
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}IITACf,OR INSTAIJ,A:TION OT{LY
as submitted has the tollSI&TBICAL PERf,fT APPIJCAEOi{
does not require sPecilic land USE
City Job Nuaber Ol -oO 7t7 -e t
Address
ciry S+){l L (*\Phone;4JC.-&ti: I
Supervisor License Nunber
Expi ration Date
Constr Contr. Number
Exp
i'iration Date I
- Siguature of Supervising Electrician
r)C. Tenporary Services or Feeders
Installation, Alteration or Relocation
3. COITPI,EIts TEE SCHETXII.E BEIOS
tial-Single or
Hulti-Family per dvelling unit.
Service Ineluded:Itens Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Uanuf'd Eome or
-Hodular Drelling
Service or Feeder $ 40.00
B Services or Feeders
fnstallation, Alterations
or Reloeation:
D.
200 amps or less
201 anps to 400 atps
-401 amps to 600 aEPs _
601 amps to 1000 anps_
Over 1000 anps/vo1ts
Reconnect 0n1y
200 anps or less $ 40-00
201 anis to 400 "rps
-
$ 55.00
over 4b1 to 6oo anirs
-
$ 8o.oo
over 600 a-mps or fOOOEfts see rB, aEffi
Branch Circuits
Nev, Alteration or Extension Per Panel
q
Sum
Electrical Contractor lr*
$ s0.00
$ 60.00
$100.00
$1s0.oo
$300.00
$ 40.00
J4-*_
Ovners Nane Be^r stt rQ:
13/ "r 3*\
= (f>Phone'726-7/d>
Address
Ci ty sda
OCNBR INSTALLA:TIOI{
The installation is being nade on
property I ovn vhieh is not intended
for sa1e, lease or rent.
Onners Signature:
DATB: O
2.00
t{iscellaneous (Service/feeder not included)
-Each installation
Puup or irrigation 1ng_$
$Sign/Outline Light
Linited Energy/Res
Limited Bnergy/Comm
SIE?OTAL OF ABOYE
7X state Surcharge
E
40.00
40.00
20.00
D6
5
8Z Adnlnistrative Fee
3t
ve ftTe\.
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