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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 ~