HomeMy WebLinkAboutPermit Mechanical 2000-6-23
,
"
.,
I Job# 00-00890-01 I
Page 1 of 2
TRANS#:01-0002295
DATE:JUN 23 2000
AMT RECD:l $ 40.00
CHANGE:$ 1.50
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00890-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 541 W Centennial Blvd Spr
Assessors Map#: 17032743
lot: Block: Addition:
Tax lot #: 05805
Subdivision:
Owner:
Address:
Hawaiian Time
Phone tIIumber:
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
541 W Centennial Blvd
Scope Of Work: Mech~nical
Contractor Type
Electrical Contr
Contractor
Philips Electric Inc
1298 Bethel Dr, Eugene, OR 97402-2003
Home Comfort Heating & Air Condit*
Po Box 24205, Eugene, OR 97402
Registration #
54438
Expiration Date
9/19/2001
Phone
541-688-6121
Mechanical Contr
84164
6/25/2001
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
. ., ,Sq. Footage:
,....;.;: I ~""t'\..: ; :t ,;\. ~ ;~ ;--~. .'j..... .:..;.... :"r':';'.'1. ur_Ckr.~ 'l.1nll 't.
, follow rules ~0.r.\Ot;;cl b" tho Oregon Utilit',
To request an inspection call the 24 hour recording at 726-3769, All inspec:tion~ ~~g!JesteajD~f6re ~;oqJ I tf J ~
a,m. will be made the same working day, inspections requested after 7:00 ~~9()nll.~Wlltrb~h5a~~~dJml,~tv.iH;OS !3~eQse. o~
working day..' I"\Hl::!b~-UUI-vUI~HdlO~g\1 Anv52-00i-
v090. You may obtam copies of the rules by
,_II:.. , ...~ .. _._" ,;;.:, 0' ,: ,
V,"",I II I '0 U I~ ...,r,.,t 110.,",". ,~'UV,"V. LlI\;;; 1.\# IV,..,' IV. .e;
number for the Oregon Utility Notification
r ~.~. ....., - . ,",r'r' ,,,.,,.. "1"'44)
.... ,-..... .".. ;-. ~.. '. ~.,,:'.. ::.' "': .
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
- Prior to cover.
-After line is installed and line has been connecl~d..t.Q.a minimum of one appliance, Pressure te!
-When all gas work is complete, NOTICE:
- When all mechanical work is complete. THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I Job# 00-00890-01 I
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
06/23/2000 2295
06/23/2000 2295
06/23/2000 2295
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administr~tive Fee
Total Electrical
1
$35.00
$2.45
$1,05
$38.50
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
More than 100,000 BTU,
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
06/07/2000 2057
1
$4.50
$2,00
$1.00
$.45
$7,50
$10.00
$1,05
$26.50
$65.00
1
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
requested at the proper time and that the project address is readable from the street.
Signature
Date
l
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATl-ONAJF IliSTALLAl'IOr
54 I fA) LLPYI i-f7n n ( t1
, ,r~ . . "
TRANS1t= 01-0002295
DA TE:.JUN 23 2000
A~T RECD:1 $ 40.00
CHANGE: $ L 50
ELECTRICAL PERMIT APPLICATION CASHIER:061
City Job Number oO-C>08,QO-01
3. COMPLETE FEE SCHEDULE BELOY
A. New.Residential-Single or
. Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
JOB DES~PTION n
pj "rJ) if +oy ~ xhlJ..vtst ~n
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 Philips Electric. Inc.
Address 1298 Rptnp1 Drivp
Ci ty Eueene
Phone(S41) hR8-hl?1
Supervisor License Number -2719R
Expiration Date 10101/01
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling'
Service or Feeder
,B.
Services or Feeders
Installatiori, Alterations
o.r Relocation:
Items
Cost
Sum'
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
$ 85.00
$ 15.00
. $ 40. 00
, $ 50. 00 .
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 20-179c
Expiration Date 10101/00
s~~ature, Of, ~uperv~::iPS D.
Owners Nffme 'm{,tvtl'tlAV\.lIMe.,
Address54-1 Wes+ ~Y\-l-er\ n l'a, \
Ci ty ;;d,on' ~ Phone7L/- / -003 b
OVNER IN~TALLATION '
The installation. is being made on . E.
property I own whi~h is not intended
for sale, lease or rent.
owners Signature:
---------------------------------------
DATE:
RECEIPT 1j::
RECEIVED BY:
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or Extension Per Panel
$ 35.00 3..["00
One Circuit. J
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Corom
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
-$ 40.00
$ 20.00
'$ 36.00
') 3,~ u
I ~i t~U