HomeMy WebLinkAboutPermit Mechanical 2000-04-20SPR!NGFIELE'
Job# 00-00556-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
TRANES:01-000130?
I)ATE:APR 20 2OOO
Al'lT RECD:2 $ 42.90
IHANEE:
IASHIER:05?
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2198 00008th St Spr
AssessorsMap#: 17032612
Lot: Btock: Addition
Job Number: 00-00556-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 01411
Subdivision:
crTY oF SPRTNGFiELD, OREGON
Owner: Jesse Stott
Address: 2198 Bth St
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
541-747-0953
Springfield, OR97477
Value: $0
Contractor Type
Electrical Contr
MechanicalContr
Contractor Registration # Expiration Date
Oregon Electric Service 38001 911412000
Po Box 2237,Eugene, OR 97402-0070
Home Comfort Heating & Air Condit.
706 Oscar St, Eugene, OR
Phone
541 -343-1 681
345-283-B
Quad Area:
# Of Units:
Constr. Type:
Water Heater:vffH_
Office Use
-
Land Use:
Zoning Code:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 before 7:00
I be made the followinga.m. will be made the same working (Xytr4
working day.
ANy DAY PERIOD
Required !nspections
D FOH
180
Rough Electrical
Final Electrical
Final Mechanical
Electrical
- Prior to cover.
-When all electrical work is complete.
Mechanical
-When all mechanicalwork is complete.
Job# 00-00556-01
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
Total
Page 2 oI 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
0412012000
04t2012000
04t20t2000
1307
1 307
1307
3 $39.00
$2.73
$1 .17
$42.90
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanica!
04t12t2000
0411212000
0411212000
0411212000
0411212000
04t12t2000
1214
1214
1214
1214
1214
1214
1
1
$5.00
$.45
$6.00
$4.00
$10.00
$1.05
$26.50
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
$69.40
OBEGO'Vctrv
The tollowtng project as submitted has the lollowing
zonrn$ and-does not require specific land use
225 FTYTE STREET
sPRrNcErEr.D, oRgcon gt qif'*
INSPECTION REQITESTz 726v3W*t'
OFPICE: 726-3759
1. LOCATION OP INSTALI.ATIONa\q< ln ?r{- :l,
(l-
-do CAL PERHTT APPLICATTON
Job Nrunber 0O - 0 05 bG -o
3. COHPI,ETE FEE SCEEDT'IJ BELOS
A. New Residential-Single or
Hulti-Fami).y per dvelling unit.
Service Included:ltems Cost
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portionthereof S 15.00
Eaeh Hanuf'd Ecre. or
-_Iodular 'Dvelling
'sertice or Feeder . S 40.00
.B Services or Feeders
Instal}ation, Alterations
or Relocation:
approval
Zoning
Signature t
IJGAL
JOB DESCRIPTIONlJi^* , ht.Q cEAc--v
Permits are non-transferable and expire
if vork is ncit started uithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION OI{LI
Electrical Contract
Address PO A"o.
Phorq3S3:-C68/_
mber .lAQl S-
Expiration Date lo-ot-ot
Constr Contr. Number fl?6O f
ExP iration Date Q -tV -ao
Signature of Supervising Electrician
ovners N.r" J-*^o-"- Stn41.
Address 1,o^,2-
Ci ty Phon"f$_o953_
OVNER INSTALI,ATION
The installation is being nade on
property f ovn vhith is not intended
for sale, lease or rent.
Ovners Signature:
-aTE:
200 anps or less
201 anps to 400 amps
401 amps to 600 anps __
601 amps to 10CC anps-
over 1000 amps/voits
Reconnect Only
Sum(o
Ci ty'
tlh6'er *rtr l License Nu
s 50.00
s 50.00
"(lCC.00ctan nn./fJv. Vw
s300.00
s 40.00
C. Tenporary Services or Feeiiers
Installation, Alteration or Relocation
200 amps''or less $ 40.00
0ver 600 amps or iOOO vofts see 'Bu affi
D. Branch Circuits : . ..
Nev, AIteration or Exten-sion Per panet.
one circuit / S 3s.00 353Each Additional
Circuit or vith Service
or Feeder Perstit .3- $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighti
Limited Energy/Res
Limited Energy/Comm
33, eo+-qsro-
_#
ng-s 40.00
s 40.00
$ 20.00
s 35.00
XJgGtsIIT T:
5. SUBTOTAL OP ABOVE
7X state Sureharge
3Z Administrative Fee
TOTALRBCETVEDUI:
(
,/}o-, ( ,'^? f
stPRINGFIELD
Job# 00-00556-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANSS:01-0001214
I)ATE:APH 12 2OOO
Al{T RE[D:2 $ 26.50
IHANGE:
EASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2198 00008th St Spr
AssessorsMap#: 17032612
Lot: Block: Addition
Job Number: 00-00556-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 01411
Subdivision:
ctrY oF SPRfiNGFfiELq OREGON
Owner: Jesse Stott
Address: 2198 8th St
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
541-747-0953
Springfield, OR97477
Value: $O
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Condit.
706 Oscar St, Eugene, OR NOTICE:
Registration # Expiration Date Phone
345-283-B
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
cy Group:
iiStr Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. 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.
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
-When all
't t (4ut. c. " .. .
heOregonUti
fules are. set r0rhJ090. you may obtaincallingthe ientei (NorenrlmberlortheOregon Uti
e
Area (Sq.
Main:Accessory:Tota!:
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit 04fi212000 1214 $5.00
EXP,RE
Land ueurHORzED UNDEHTHIS
zonins@&ENCED ORIS
Bedrodd{Y:i80 DAy PERIOD.
Range:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Job# 00-00556-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Mechanical Administrative Fee
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
04t12t2000
04t1212000
04t1212000
04t12t2000
04t12t2000
1214
1214
1214
1214
1214
1
1
$.45
$6.00
$4.00
$10.00
$1.05
$26.50
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 time and ress is readable from the street.
sig Date
$26.50
4-tz'od