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Home My WebLink AboutPermit Mechanical 2000-5-31 . , . I Job# 00-00847-01 I . Page 1 of 2 TRANS#:01-0001972 DATE:MAY 31 2000 AMT RECD:2 $ 65.00 CHANGE: CASHIER: 003 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00847-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3092 Hayden Bridge Rd Spr Assessors Map#: 17021900 Lot: Block: Addition: Tax Lot #: 00800 Subdivision: Owner: David Logan 3092Hayden Bridge Rd Phone Number: 541-726-3732 City/State/Zip: Springfield, 01 97477 Alteration Value: $0 Address: Scope Of Work: Mechanical Adding air conditioning to existing mechanical system Contractor Type Electrical Contr Contractor Binns Electric Co 210 Wallis St Unit C, Eugene, OR 97402-5328 Beymer Heating & Sheet Metal Co 300 River Rd, Eugene, OR 97404-3279 Registration # 73762 Expiration Date 6/6/1999 Phone 541-687-1362 Mechanical Contr 4483 11/14/2000 541-688-5004 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. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Ar~a (Sq. Feet) _ Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 05/31/2000 1972 05/31/2000 1972 Value/Quantity Fee Amount Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit 1 $35.00 $2.45 . , . Job# 00-00847-01 . Page 2 of 2 Value/Quantity Fee Amount I Fee Paid On Receipt# Electrical 05/31/2000 1972 $1.05 $38.50 $9.00 $.45 1 $6.00 $10.00 $1.05 $26.50 $65.00 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 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. Mechanical 05/31/2000 1972 05/31/2000 1972 05/31/2000 1972 05/31/2000 1972 05/31/2000 1972 7--- ~d L ~ ---;> Signature .5'-3/-<90 Date DUPLI;ATE ~E~EIPI DUPLICAfE RECEIPT~ . ----------- -- --_._----- ----- ----------- --------- --- -------., ------- -- ------- - --- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 )726-3753 ----------- --------------------._--. ~- ---------------------------------------- WELCOME TO DEUELDrME~T SERUICES AND PUBLIC WORKS - -, . .-.. -------------------..- ----.--. ---- -.. --.-------------------. -----------.,- REG-RECEIPr:Ol-0001972 C:MAY 31 2000 CASHIER 10:003 3:12 pm A:MAY 31 2000 ------- --- -- .------.------------------ ----- ._---------------------_._--------- 1004 ELECTRICAL PERMIT $35.00 JOB#:00-00B47-01 1099 STATE SURCHARGE(7~) $2.45 JOB":00-00847-01 1098 ADMJIl FEE(3%) $1.05 JOB#:00-00847-01 1006 MECHANICAL PERMIT $15.00 JOB;:00-00847-01 1099 STATE SURCHARGE(7%) $1.05 JOB#:OO-00847-01 109B ADMIN FEE(3%) $0.45 JOB":00-OOB47-01 10B7 MECHANICAL ISSUANCE $10.00 JOB":00-00847-01 rorAl DUE $65.00 RECEIVED FROI~: BEYMER HEATING CHECK: $65.00 TOTAL TENDERED $65.00 CHANGE DUE $0.00 -----------------_. ---- -- ..".'. ---_._------------.-. ._----- - ~- .Pay Name :BEYMER HEATING *Mai 1 Acldr :300 RIVER ROAD *Cty/St!l :EUGEtiE OR 97404 .Site Addr :3092 HAYDEN BRIDGE ROA ---------------------_.---------- --.. .. ---------------______0______- __________ . --------------------------------"~--~ . -------------------------------"-------- THANK VOU!!!!!! _____________ _____________ ._ __.._ _ u _ _.. . _____.______________n____________. _ ._ __ ___ DUPLICATE RECEIPT OUPLICATE RECEIPT . . eRINGFIELD :" I . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REOUEST: 726-3769 OFFICE: 726-3759 '. LOCATION OF I~~TALLATION ~ ;Sf)) 2. TfYo/fiW 4d /~ LEGAL DESCRIPTION J7112-/"3fiiJ O/JBCt-D JOB DESCRIPTION CfYVJ~ -Lf/<"- <{ /f4/2:?-l Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 1. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor [:;/I!.)If)t5 ELt!=C7/t./C- Address 2rO W/fu...i 5 #- C Ci ty E:- () (_ ~ G Phone t 'ir 7.( '$ b z... Supel-visor License Number ...~ 0 .q~5' Expiration Date 10-(- :2001 Cons t r Con t r. Number "7.3 7 t:. I Expiration Date t - t- - ;l 00 I Signatu~/1of su~.rviSing Electrician I~.r:~ Ovner~ Name D..v,'J !--acto-VI o Address :5 0 <J2. I-fa..;rbn Rr:Jy (!) Ci ty Sf'1 c.J Phone 72-t-3732- OVNER INSTALLATION The installation is being made on property I ovn vhi~h is not intended for sale. lease or rent. mO:1:I3IHS~J :39N~HJ Ovoers Signature: OO'S9 $ G:OJ31:1 lW~ OOOG 1\: I flU: ::111-111 GL61000-~~------------------------------- Kr.....r...lr..l If: RECEIVED BY: 3. ELECTRICAL PERMIT APPLICATION City Job Number /M,-000.f7-0/ COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: I terns ' Cos t . , Sum 1000 sq. ft. or less $ 85.00 Each addi tional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dvelling Service or Feeder $ 40.00 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 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see fiB" above' D. Branch Circuits o' Nev, Alteration or Extension Per Panel --L- $ 35.00 %<A One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 1'<)'00 - 2/1J /.DJ- ? s>.Jo L.../ - ~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL