HomeMy WebLinkAboutPermit Mechanical 2000-5-12
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Job# 00-00715-01
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Page 1 of 2
TRANS#:01-0001720
DATE:MAY 12 2000
AMT RECD:2 $ 53.00
CHANGE:
CASHIER: 003
RESIDENTIAL PERMIT
City Of Springfield . .
Community Services Division
Building Safety
Job Number: 00-00715-01
225 ~orth Fifth Street
Springfield, OR 974.77
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 509 Brookdale Ave Spr
Assessors Map#: 17032242
Lot: Block: Addition:
Tax Lot #: 02800
Subdivision:
Owner:
Addr~ss:
Bob Murray
509 Brookdale Ave
Phone Number: 541-726-7487
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scop~ Of Work: Mechanical
GAS SERVI~E AND APPLIANCES
Contractor Type
Mechanical Contr
Contra'ctor
American Gas Appliance Service Inc
618 HamiltonSt, Springfield, OR
97477-3611
Registration # Expiration Date
77621 10/31/2000
Phone
541-954-4686
Quad Area:
# Of Units:
II
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat SO.urce:
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. '
h
Required Inspections
Mechanical, I .
Rough Gas
Rough Mechanical
Gas Service '
Final Mechanical
- Prior to cover.
'-After line is installed and line has been connected to a minimum of one appliance. Pressure te~
- When all mechanical work is complete.
Construction Types:
l .
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handi~ap Access? D
-Area (Sq. Feet)
M .1.
all':
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet): .
Proposed Units:
Accessory:
Total:
Job# 00-00715-01
Page 2 of 2
Fee
Paid On Receipt#
Mechanical'
05/12/2000
05/12/2000
05/12/2000
05/12/2000
05/12/2000
.05/12/2000
Value/Quantity
.One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
,
.I
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 us d on this project. I further agree to ensure that all required inspections are
requested at the prop time and that the project address is readable from the street.
.~~.:~. .,'
Signature Date
l
Fee Amount
$2.00
$13.00
$.45
$.00
$10.00
$1.05
$26.50
$26.50
The following project as submitted has the following
zoning, and does not requ~"r spe "tic land use
approval. \ ~'
Zonin~ _ \.AJ
225 FIFTH STREET Date "6 .~ '. r-:f:)
SPRINGFIELD, ORE<A~o~JeilSigl1PtlJ!e l k\,
INSPECTION REQUEST: i26-3/6~ - .
OFFICE: 726-3759
1. ~~N~~,N~~\ CU
l r,b~E~~40~ (J'L Y:.oO
~DES~~l\~,
,"
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ARC ELECTRIC INC
A'C1dress 'R<;1B.3. T-n,IY QQ C:()lITF
Gi ty EUGENE.
Phone 741-0494
S~pervisnr License Number
Expiration Date 10/1/01
4079S
ELECTRICAL PERMIT APPLICATION
Ci ty Job NwnberI[) . (1)lJ5.0{
3. COMPLETE FEE SCHEDULE BELOY'
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion.
thereof $ 15.00
Each Manuf/d Home. or
Modular Dwelling
Service or Feeders 40.00
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
,$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 20-403C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
The in~tallation is b~ing made on
property I own which is not intended
for sale, lease or rent:
~OO:~3I~rs Signature:
:39N\JH:J '
O~'8~ $ G;Q:J3~ lW\j
aooG 9G~~-----------------------------~
~061000~~N\j~
. RECEl PT :
RECEIVED BY:
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
$ 40.00
$ 55.00
S 80.00
see "B" above
New, Alteration or Extension Per Panel
S 35.00 ~S.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One \(;ir"cui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
not included)
$ 40.00
S 40.00
$ 20.00
S 36.00
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