HomeMy WebLinkAboutPermit Electrical 2002-1-22 (2)
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Date k 2-1..~D;)z-. Multi-Family pcr dwelling unit. ,\~{;.
LEGAL DESCRIPTION Aw .~~. ~ervlce ll'cluded: '/.'1.;".-'
1703 ZZ l{l{ {)~{V\Jrgnature Items Cost StiI!{t
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190:~3IHS\;l3';:; C-, """',." """;;(.'''''''''''
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00 19 $ G. OoJ~~ 11>1,\:1, :',:'3\7j-~~';5i~$~f\g;;~,
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. .' . ':,;,'~~~f;~,:~~;;,':rtf}0:)f:~_H~tX;!t1r:d"'~~~
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each ManuI'd Home or
Modular Dwelling
Service or Feeder
$106.00
$ ]9.00
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i'~~;:'
$ 50.00
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I Job# 02-00056-01 I
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Page 1 of 2
TRANS~:01-0007786
DATE: JAN 15 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:003
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SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00056-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2720 Game Farm Rd Spr
Assessors Map#: 17032244
Lot: Block: Addition:
Tax Lot #: 06100
Subdivision:
Owner:
Ron Whitmer
2720 Game FarmRoad
Phone Number: 541-747-2584
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Mechanical
Replacing Gas Furnace and adding 2,5 ton Heat Pump
Contractor Type
Mechanical Contr
Contractor Registrati~I!-~'"" l!';l!P!rOl~i,On!Da~!;',~.: ,/('p~~':le
Home Comfort Heating & Air Conditioning 841 ~4-r:~',;;'.~.: ',_~/2!i/2.?03~lV,~'~~~~.1;345-2838
P B 24205 E OR 97402 ,v__ - ' r- -,. roO,'"'' 'u, ,,' - .r ' - -
o ox ,ugene, . --d';\v':"~"'''''' ....h-\r~...;.j~~........
V' ...n" ~'......".... __... '1,-Int:'i.:J, ...1 .. . .~ ,
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
i..... Jl.S;;,).,.... '.1'':',' >..' .,," "'r.,:~",,":' ,..I ~..,~ ,......-.,.
'\,' . ,-, j 0_;.......1'''... 4..' \l)'-o.l\l~
,\' ::0. ; c..... ..........' ,~. ,\\\..tc: '~'i\f.: .d,'~. I. .
vV""c-iliH9 ti-,v .X#OfBuiidings:'.';c~i.,i'::::':IIJ,l
...... ."'....l.r.. ........ "
qurnb.,[ 1;-, "'Occupanc;y:Groupf'
. C""\(.He~t S~~rce: Heat Pump
Sq, Footage:
To request an inspection call the 24 hour recording at 726-3769, 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,
Final Mechanical
Required Inspections
I Mechanical
-When all mechanical work is complete,
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq, r d)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
01/15/2002 7786
Value/Quantity
Fee Amount
Minimum Mechanical Permit
$21,00
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon, I further state that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
requestd~$~ad=>lefrom the street.
s;g"~~~-u (/
,.-------
0- ,,'00 .
Job# 02-00056-01
Paid On Receipt#
Mechanical
01/15/2002 7786
01/15/2002 7786
01/15/2002 7786
01/15/2002 7786
01/15/2002 7786
..-'
Fee
Administrative Fee - Mechanical
Less than 100,000 BTU
3hp -- 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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Page 2 of2
Value/Quantity Fee Amount
I
1
1
$3,60
$12,00
$12.00
$10,00
$3.15
$61.75
$61,75
/ --15:..0(:
Date
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