HomeMy WebLinkAboutPermit Mechanical 2000-6-13
\
"
.
I Job# 00-00922-01 I
.
Page 1 of 2
TRANS#:01-0002136
DATE:JUN 13 2000
AMT RECD:2 $ 40.70
CHANGE:
CASHIER: 004
SPRINGFIELD
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00922-01
. 225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3751 Jasper Rd Spr
Assessors Map#: 18020613
Lot: Block: Addition:
Tax Lot #: 09600
subdivision:
Owner:
Address:
Scott Ward
3751 Jasper Rd
Scope Of Work: Mechanical
I
Phone Number: 541-747-1543
City/State/Zip: springfield. OR 97477 .
New Value: $0
install ground level gas a/c
Contractor Type
Electrical Contr
Contractor
Jb Electric Inc
4065 W l.1Th #18, Eugene, OR 97402
AUTOMATIC HEAT CO.
3675 FRANKLIN BLVD., EUGENE, OR
. 97403
Registration #
104929
Expiration Date
3/14/2004
Phone
541-687-5770
Mechanical Contr
0000439.
10/2/2001
541-726-7654
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
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.
Required Inspections
Electrical I
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete.
Mechanical
Rough Gas
Rough Mechanical
Final Gas
Final Mechanical
-Prior to cover.
- When all gas work is complete.
-When all mechanical work is complete.
'\.
.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
I Job# 00.Q0922.Q1 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Electrical
06/13/2000 0002136
06/13/2000 0002136
06/13/2000 0002136
Mechanical
06/12/2000 2110
06/12/2000 2110
06/12/2000 2110
06/12/2000 2110
06/12/2000 2110
.
Height (feet):
Proposed Units:
Page 2 of2
\
Value/Quantity
I
Fee Amount
2
$37.00
$2.59
$1.11
$40.70
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$67.20
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 ti~nd that the proj~ct address is readable from the street.
(lJ~(~~O. (,-
Signature VV v- -
~ - r3 - ocJ
Date
....
" b "tied has the following
"\ he following project as su .ml specifiC land use
,.uomg, and does not requIre
approval" -' i7tfR.~
Zonmg fA, ..
f.", 0 "b 0 @11jl
~
TRANS#:01-0002136
DA TE : JUN 13 2000
AMT RECD:2 $ 40.70
CHANGE:
.PLECTRICAL PERMIT APPLICATI9ASHIER:004
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974707".
726,-3,7"q~ed Signature
1. LOCATION OF INSTALLATION
7, 7..5..../ 0.LS."- -- 191,
,
LEGAL DESCRIPTION
...L&t>2&>(f:. /::< &~~
- r .
JOB DESCRIPTION
/..J.l/AC
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days. ()C;'J~'
2. CONTRACTOR INSTALLATION ONLY
.1
,
Electrical Contractor :;-~ ~/~r~;c ~>1:,
Address L;() L c: r,.J, II tb.- :#-{ ~
Ci ty I. /0<: Phone (, <67li77()
Supervisor License Number S~....,~<;
Expiration Date '%01
Constr Contr. Number~:l.t1
Expiration Date '}1"%LI
Signature
f Sup ~vis~lectrician
l~ ;'"X ~
- -
~r /.~~p
Address -;;j'>- 5/ /~""'"--;"; ~~,
Ci ty" ~~O> ~', Pho~e ~ :> ..y S't;/;;-
,./' 'r / - - - "
OYNER INSTALLATION
Oyners Na
The installation is being made on E.
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:. ,f, .~~t!?
RECEIPT *:. ~&> -;C:~l'::"
RECEIVED BY: .// ~ ~
/' -7Y
~~ LY Job Number ~ ~t:J.cJ9'2"2 -<3 I
3. COMPLETE FEE SCHEDULE BELO\l
A. Ney Residential-Single or
Multi-Family "per dyelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. f t or portion
thereof
Each Manuf'd Home. or
Modular 'Dyelli.ng
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
.B.
Services or Feeders
Installation, Alterations
or Reloca t ion:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
Ney, Alteration or Extension Per Panel
~
$ 35.00
?L:-
One (Ci rcui t
Each Additional
Citcuit or yith Service
or Feeder Permit ~ $
i
.
Miseellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
2.00
d---
not included)
5.
SUBTOTAL OF ABOVE
"l% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
....--
3 7 '1'k-
').., IJ
--.Ll
~