HomeMy WebLinkAboutPermit Mechanical 2002-8-22
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Job# 02-01017-01
Page .nSf 2
TRANS#:Ol-0010386
DATE:AUG 22 2002
AMT REeD:2 $ 61.75
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01017-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 6990 C St Spr
Assessors Map#: 17023532
lot: Block: Addition:
Tax lot #: 00103
Subdivision:
Owner:
Address:
Dan Bishop
6990 C Street
Phone Number: 541-726-0942
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Heating System
Install heat pump
Contractor Type
Mechanical Contr
Registration # Expiration Date U \0 Phone
00460 6/27 /20p~~U\~e~~0'~1 ~?6-01 00
0(\ \'a.\f'J o~eg se\ \0 \,
"{'we<0 ._. I ,'(\e _,. ~~e ~ n,OO
. ,0\""- ~eo'" J ~\)\""- ~ ';:1""- S Q'j
Office Use ....-(\::..\'~ 'O.oo'Q ,\'(\ose ~ O~ ~u\e
~ \ ' \)\es ~e~'. .It::1()\)~. "n'(\e o(\e
Quad Area: land Use: \0\\0\f'J ~ . 0(\ Ce(\ ,OO'lf-...Of' ~~\!sf~ng~e\e~~ '0.\\0(\
# Of Units: Zoning Code: ~;\~\c'O.\\ c..n,OO\ ,,",QccfiBancY'f(;r.et:i~.:.c
~o~ gvv ~ ov' . I~O~~"."\.,~~ ~<:>.
Constr. Type: Bedrooms:.f' o~~ OU ~e: e~lieat ~~l:U'ce: Slieat Pump
Water Heater: Range: \ "090. ~ r\ \'(\e C eSJf.€Ro.ptC!Q8=-'2:
v _\\\(\~. ,~n . o.\.:J\J
vV" e~w: ~\'2:'-
To request an inspection call the 24 hour recording at 726-3769. All iI\lS~~tions~pJ~uested 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.
Contractor
Comfort Flow Heating Co
1951 Don Street, Springfield, OR 97477
Rough Mechanical
Final Mechanical
Required Inspections
Mechanical I' f \t\t. 'NO~~
- Prior to cover. . t.'j.rr\~t. \ ,,^\\ \~ \,\0
-When all mechanical work is comPlete~01\C~' ,,^\\ ~t\~\.\.~ \t\\~ rrt.\\ ~\) fO'"
\t\\~ ~t.~\1t.\) ~\'\\)~~ ~~~\,\\)O~
~~\~~t.~Ct.\) ~~~\O\)'
CO \~\l \)~'{
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Construction Types:
,Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Accessory:
Total:
.,
~
I Job# 02-01017-01 I
Paid On Receipt#
Mechanical
08/22/2002 10386
08/22/2002 10386
08/22/2002 .10386
08/22/2002 10386
08/22/2002 10386
08/22/2002 10386
Fee
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1~~~1 ,tQo A~
Signature .~
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p
Page 2 of 2 .
Value/Quantity Fee Amount
$25.00
$3.60
$12.00
$8.00
$10.00
$3.15
$61.75
. $61.75
eJI}:J1if--
Dafe V
1
1
J~B DESC}upTION 'LL 1000 sq. ft. or less
/-h fL IbrvuD ( -&<.-- / ~1~Jil.if'.Yject as submilledhmh~WRimlng500
4V"'''l:I dllU UDeS not require SP%Gjfift '€Iflt;!,@Il!t(b
approval Cj. 'f' n
Permits are non-transferable and expire Z ' --kJ.");2. thereof
if work is not started within 180 days onln%- "/~-'''I..o:l MnRMfEl Home or
o~issuance or if work is suspen~tl'ful . Z."......O~f()rll~l:.1r Dwelling
180 days. AuthOr/zed SIgnature ; ervlce or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
t.. 996 I c I S-j-/~(/
,/srb'S~~ON3~ oaf 0 3
,
2. CONTRACTOR INSTALLATION ONLY
..' " ; gL,ectricaF<S<fiiW(ttt.oP~fC~~(~, .
,", " ,_,' <?doptec;O~IHlj, -"':1- ','"
10110')0 I Ulc." -"'I"J.. . .-"" ".",. 'jle~tf- (E..,sel \U(.
0. \rJ't'lt;ci.-dQ5~S:;6IJ,t.E{D '~((,~,~\Y.1\ ...tlf~!)J\CH\'
,', ' ,~ '~";'-' ,C)I)'F001 0 throu9 i\/. \ 1/:'--
'/.' O/i,R.d')r.:.'r'~"...~I... '., 'c"o" ."'\tAc,; or t~('t .ll\e
, ,cv:t. ,C;\'U\11'OW11.~! r ..,t'!'.t'lmne roo "..
,;090, -- ~.. (NotA: tne "eI8p\'p~
cqllinc tne ventec <... 'tr,p~~tio.n
n ~~tTJ\fY.1Pf~J.~~~~~lI~~~t:J;j0'!r,y-< ~,.,.....
''''ntKSrjC, t ~{Jt';~2i'~~~:r ,,- 'r.L
Expiratlori.'bate 7v.{/.() 'f.(
,/ ,
Constr Contr. Number 7 rl).?P9
Date /~~7iJ
Signaturc of Supervising Elcctrician
~~~A?A
Owners Name ..12e~J.t. (~l'{)L-l,1..J
Address to 790 Ie:'
City S'C~6tf~(.i>hone '[J2'07YL
OWNER INSTALLATION
The installation isbeing made on
property I own which is not intended
for sale, lease or rent.
V D.
.)41{(;, f'
Owncrs Signature:
~
ELL_ .RICAL PERMIT APPLICATION
City Job Number (] J...
3. CONWLETEFEESCHEDULEBELO\V
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sm:n
$106.00
$ 19.00
$ 50.00
B. Scrvices or Feedcrs
Installation, Alterations
Rclocation:
Branch Circuits
New Alteration or Extension Per Panel
One Circuit
-L$43.00
Each Additional Circuit or with Ser';~o
or Feeder Permit I
$ 3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
Minimum Electric Permit Inspcction Fec is $45.00 + Surcharges
11(//. ~
J,(p'cf
3'd-~
5~~70
4. SUBTOTAL OF ABOVE
7% Statc Surcharge
8% Administrative Fce
TOTAL