HomeMy WebLinkAboutPermit Mechanical 2000-09-27SPRINGFTELD
Job# 00-01457-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 ot 2
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1606 0001Oth St 1616 Spr
AssessorsMap#: 17032642
Lot: Block: Addition
Job Number: 00-01457-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04904
Subdivision:
GITY OF SPRINGFTELD, OREGOTV
Owner: Julie Davis
Address: 36702 Boiler Creek Rd
Scope Of Work: Mechanical
install furnace each location
Phone Number:
City/State/Zip:
New
541-933-2126
Springfield, OR 97478
Value: $O
Contractor Type
MechanicalContr
Contractor
Home Comfort Heating & Air Condit.
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
6t25t2001
Phone
541 -345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
To request an inspection call the 24 hour recording at 7
a.m. will be made the same working day, inspections requested
working day.
NTTON:0 you to
fortl,
of the rules bY
e telenhone0090"
Requ ired tnspectioffSll
You mav obtaincoPies
l^^+haiantar (Nnte'th,v
Rough Gas
Rough Mechanical
FinalGas
Final Mechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. F
Main:
Mechanical
- Prior to cover.
-When all gas work is complete.
-When all mechanicalwork is complete.
# Of Stories:
Current Units:
Census Gode: Does not
f or the Oregon Utility Notif ication
Cente' iri i -Ron-332-2344).
NOTICE:
Ti.IIS PERIVIIT SHAI.L EXPII?H IF THE WORi(
AUrHoEr@dUilEH Tll!s pEa[,Iir ls NoT
COIuBtENGfieCIfrrffiBAl'JDONEDFOB g -{
ABfl$IY 180 DAY PEFIICD. : E A' ffiilffirf., t+(-l Ei CA '":r> .. m{3rf, EaTu
Accessory Total
:EIF{ ff, t,} r.J (}rn- --1(};rJ r> r.f c).. z fr...r.J L.rO m. C) Lrl{}. rnLn (} HP".(:)(}m
Job# 00-01457-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Tota! Mechanical
09t27t2000
0912712000
09127t2000
0912712000
0912712000
3317
3317
3317
3317
3317
1
$9.00
$.45
$6.00
$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
req at nd the project address is readable from the street.
S re Date
$26.50
ftz*<
*",.j; ""xT%::?xjiaH,:;:i,;:the followino
tand use -
SP GFIELD
CTRICAL PERHIT APPLICATION- n-2)
A.-1ob Nurnber 'j U At 1-ol
3. COHPLETE SCHXDUI.E BELOIJ
Zoning
225 F]'ruB STREET
SPRTNGFTELD, OREGoN 914
INSPECTION REQITEST z 72
OFFICE: 726-3759
Date l6-
71
6-,Authortzed signature
L ON OF
LEGAL DESCRIPTION
t'703 z6cl c>a ?on
JOB DE
2. CONTRACTOR INSTALT.ATION ONLY
Permits are non-transferable and expire
ii vott is not started vithin 180 days
;i i;;;";"" ot if vork is susPended for'
180 days -- 'OO ?CZ
Nev Residential-Single or
Multi-FamilY Per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home' or
Modular DwelIing
Service or Feeder
Services or Feedert
Instaflation, Alterations
or Relocation:
201 amps to 400 amPS --.-
401 amps to 600 amPS ---601 amps to 1000 amPs-
Over 1000 amPs/vo1ts _-
Reconnect 0nlY
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
A
B.
Tt,r,
unit.
Cos t
$ 8s.00
$ 1s.00
$ 40.00
50.00
60. 00
100.00
130.00
300.00
40. 00
Sum
(
ciry6J(iaJL ,n*@51J9-
OVNER INSTATLATION
The installation is being made on
piop"tty I ovn r"hich is not intended
it$:U3fSJUgaIe' lease or rent'
;i?Uf*$rynfif'rffiture:
000I E0 130:31ufl
Electrical Contracto
Address t-{It,5 I \./l t! *tk
Ci ty Phone
Supervisor License Number
Expi.ration Date,
Constr Contr. N
Expiration Date
Signatur f.sing Electrician
0vners Name Beo F4b
Address L,*J I
DATE:
TemporarY Services of-Feeders -i;;i;Ii"iion, Alteration or Relocation
200 amps"or less $ 49'99
ioi ;r;; io aoo amPs
-
t ::'9qo;;'-46i to 6oo a*i,s --- $ eo..99
over 600 amps or ibOO-voTTs see rrBrr above
Nev, Alteration or Extension Per Panel' i 'oo 'F:9oOneCircuit | $3:
Each Additional
:l';:::":'rxlll,t"rvice, s 2.oo 3lb
Misceflaneous (Service/feeder not included)
-Each installation
PumD or irrigation
Sign/Outline Lighting.---
Limited EnergY/Res _--
Limited EnergY/Comm
$
s
$
$
$
$
C
umber
D
E
5
s
s
$(
40
?
.00
.00
.00
.00
OD
40
20
36
.li
RECEIVED B
rO otoo
4D jqo
.S