HomeMy WebLinkAboutPermit Mechanical 2000-10-5
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I Job# 00-01456-01 I
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TRANS#:01-0003397
DATE:OCT 05 2000
AMT RECD:2 $ 40,70
CHANGE:
CASHIER: 032
SPRINGFIELD
~-
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01456-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1159 Janus St Spr
Assessors Map#: 17033421
lot: Block: Addition:
Tax lot #: 00308
Subdivision:
Owner:
Faye Kepler
1159 Janus St
Phone Number: 541-747-3059
City/State/Zip: Springfield. OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
install heat pump
Contractor Type
Electrical Contr
Contractor
Jb Electric Inc
4065 W 11Th #lB, Eugene, OR 97402
Home Comfort Heating & Air Condit'
Po Box 24205, Eugene, OR 97402
Registration #
104929
Expiration Date
3/14/2004
Phone
541-687-5770
Mechanical Contr
84164
6/25/2001
541-345.2B38
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.
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete,
Required Inspections
Electrical I NOTICE: OR'K
EXP'R~ IFTI1E W
TI1IS PERMIT SI1ALL TI1'IS;ERMlT IS NOT
I ~~':~::~~~:I~~BANDONEDFOR
ANY 180 DAY PERIOD.
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
, equlfe~youto
ATl EN110,,,:uregcr, ,a;h~Oregon Utility
follow rules adopted by les are set fonl,
Notification Gente~16~~~~~~h OAR 952-001'
.n OAR 952-001-0btain copies olthe rules by
0090. You may 0 Note' the telephone
calling t,he cen~:~~on uiility Notification
nur.lbertol the" 1'''[1_'\'',,_')')44).
C-::l"te;-I~. . "" 4
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I Job# 00-01456-01 I
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
10/04/2000 3378
10/04/2000 3378
10/04/2000 3378
Value/Quantity
I
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
2
$37,00
$2,59
$1.11
$40.70
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
09/27/2000 3316
09/27/2000 3316
09/27/2000 3316
09/27/2000 3316
09/27/2000 3316
1
$9,00
$.45
$6.00
$10.00
$1,05
$26,50
$67,20
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
The following project as submitteo nas thr. 'qJ!
zoning, and does. not require specific lanu u
approval,
Zoninr' L D/l....
10 ./ '5-ail
Authorized Signature cf(~
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cD-loq3
Date
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
L09tlXJ..,ON Q.F INSTALLATION
11')'1 -:JA-A/US
LEGAL DESCRIPTION
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contracto"l6F I f {TJ? lC'/)TViC.
Address U{)lc'C::; II). / /t!..1 U/x "
City fU(3me Phone Ip'8j-511D
Supervi.sor License Number, ::Sxl'd S
Expiration Date~~/ 1/01
I I .
'7 11
Cons t r Con t r, Number.., l-,S'87- - U
Expiration Date ){')f Jnn
Sl,""~~~"""""
Owners Name~~ ~H~':"-
Address400'=:; uJ. I (~Atlf ;;tJt.t<V
Ci ty 'fvt:liaJC
Phone (o'B,-577=
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovoers Signature:
---------------------------------------
DATE:
Kr......t:..Lt'1 if:
RECEIVED BY:
ELEC'f[lCAL PERMIT APPLICATION
City Job Number ft-'O - 6 (~~/" ~ 61
3. COMPLETE FEE SCHEDULE BELO\I
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items
Cost
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15,00
,$40,00
Services or Feedert
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
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
C.
Temporary Services oi-Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
$ 40.00
$ 55.00
$ 80.00
see "Bll above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit I $ 35.00 35-dJ
Each Additional
Circuit or vith Service &.00
or Feeder Permit -L $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting----- $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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