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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