HomeMy WebLinkAboutPermit Mechanical 2001-3-15
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I Job# 01-00237-01 I
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Page 1 of 2
TRANS#:01-0004671
DATE:MAR 15 2001
AMT RECD:2 $ 67.20
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00237-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1988 lomond Ave Spr
Assesso;s Map#: 17032512
Lot: Block: Addition:
Tax Lot #: 01200
Subdivision:
Owner:
RON WETZEll
1988 lOMOND AVE
Phone Number: 541-747-9420
City/StateIZip: SPRINGFIELD, OR 97477
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New Value: $0
Address:
Scope Of Work: Mechanical
INSTALLING A NEW HVAC SYSTEM TO REPLACE CEILING HEAT
Contractor Type
Electrical Contr
Contractor
Bills Electric
3170 West11lh Street, Eugene, OR
Harvey & Son Heating & Air Cond,lnc
4680 Main St, Springfield, OR
97478-6054
Registration # Expiration Date
Phone
Mechanical Contr
55682 2126/2001
541-746-7677
Quad Arp1:
# 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 rlay.
Required Inspections
Electrical
Rough Eiectrical
Final Eleclr:cJI
- Prior to cover.
- When all electrical work is complete.
Mechanical
Rough Mechanical
Final Mech,nical
- Prior to cover.
- When all mechanical work is complete.
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I Job# 01-00237 -01 I
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Page 2 of 2
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
03/15/2001 4671
03/1512001 4671
03/1512001 4671
ValuelQuantity
Fee Amount
Branch Circuits WIO Feeder or Service
State St' '~:nrge - Electrical
Admini:~':'live Fee - Electrical
Total Electr:~,,1
2
$37.00
$2.59
$1,11
$40.70
Minimum Ivl~chanical Permit
Administrative Fee, Mechanical
Less tI'l'l 100,000 BTU
Mechan'"cllssuance
State SlI'''' "'ge . ~.jlechanical
Total [.r. ':,' nieal
Mechanical
03/1512001 4671
03/15/2001 4671
03/15/2001 4671
03/15/2001 4671
03/15/2001 4671
1
$9.00
$.45
$6,00
$10.00
$1.05
$26.50
$67.20
Grand ',olal
By signal,';e, 1 state and a9ree that I have carefully examined the completed application and do
hereby cerlily Ihat all information herein is true and correct, and I further certify that any and all work
perform€d" lli be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State 01 Oregon, 1 further state that only contractors and employees who are in compliance with
ORS 7 ~ ,c--' willlJe used on this project. I further agree to ensure that all required inspections are
reque:: ' ,: 1110 proper time and that the project address is readable from the street.
7,Y/UUO ~~ 3/15/?~/
Sign~t.. I Date
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The following project es submitted has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 974770ate ~ -1\/0 j /
INSPECTION REQUEST: 726 ,~7!;Q Y<.vJ
OFFICE: 726-3759 -A'Utl'\'dlized Signature
L LOCATION OF/I~~^!,':"''1:r?N ..L.L.z
J5'';<A ~~
LEGAL DESCRIPTION
J '7 rJ ~ 2.. <:; /2. l!f) /2fft)
JOB DESCRIPTION
_r"./A{!//(~ .fiX .II/~ ~
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 INSTALLATIONflY~ ,B,
c::: ( /, r
Electrical Contract~'r"f)/If J ~
Address i (7 () ( ;)- J ( ~
Ci ty ~~t? Phone '3 <I ( f'V7A.
Supervi.sor L{cense Number q j' 6 --5
Expiration Date/ D - 1- "2 OD /
Constr Contr. Number d- ( 7:l r I
/D-I-7 coO
Expiration Date
Si~;f ;1?lJ;cian ~ D,
Owners Name A..7 k 9R~
Address /9 ~ ttJWg;eJ.J ,Avt!- ,
CitY~/?J Phone1~p- 5'.;I2fJ
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
mO:l:l3IHSlJ8
:38NlJ~ers Signature:
Ol'L9 $ l:a83l:l lWlJ
lOOl !>l ~lJW:1J~n
lL9~OGe-i~~~~t----------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
J...17 r<.-
L~v.AlCAL PERMIT ,APPLICATION
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City Job Numberj?/'" o./J 2. "!.7 -f)/
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3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
$ 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
200 amps' 'or 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
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New, Alteration or Extension Per Panel
One Circui t I
Each Additional
Circuit or with Service
or Feeder Permit /
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 :?)'
$ 2 . 00 2.
not included)
40.00
40.00
20.00
36.00
$
$
$
$
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TRANS#:01-0004671
DATE: MAR 15 2001
AMT RECD:2 $ 67.20
CHANGE:
CASHIER:003
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