HomeMy WebLinkAboutPermit Mechanical 2000-06-02SPRINGFIELD
Job# 00-00845-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
THAN$$:01-000t004
DATE:JUN OT IitOO
AllT REID:Z $ ]8.50
CHAI.JGE:
CASHIER:061
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 510 Walnut Pl Spr
AssessorsMap#: 17033423
Lot: Block: Addition
Job Number: 00-00845-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 03600
Subdivision:
ctTY oF SPRINGFTELD, OREGON
Owner: Glen Hurt
Address: 510 Walnut Pl
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
Springfield, OR
Value: $O
Gontractor Type
ElectricalContr
MechanicalContr
Contractor
Oregon Electric Service
Po Box 2237, Eugene, OR 97402-0070
Home Comfort Heating & Air Condit.
706 Oscar St, Eugene, OR
Registration #
38001
Expiration Date
9114t2000
Phone
541 -343-1 681
345-283-8
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording a1726-3769. Ar inspecll#lJrQEirt"o before 7:00
a.m. will be made the same working day, inspections requested after 7:00 4HlgrflEmfirlzsleAheO(FtfrEtFTHEWORK
working dav' AUTHORTZEDUNDERTHTSPERIvTflSNOT
Required lnspections
Electrica!ANY 180 DAY PERIOD.
Rough Electrical
Final Electrical
Rough Mechanical
FinalMechanical
- Prior to cover.
-When all electrical work is complete.
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
rrl lEt\ilLr!\
follow rules a
Jotificatiorr Ce
'r OAF 952-i,0
)090. Youimatr
callino the n,
r riliiv feqdti'g$ yOU t.
bvtheOreoon Utitit
m
K
re setfortf
i 952-001.
te rules b\
cphone
Job# 00-00845-01
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Gode: Does not apply
Total
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrica!
06t02t2000
0610212000
06t02t2000
2004
2004
2004
$35.00
$2.45
$1.05
$38.s0
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
05/31/2000
05/31/2000
05/31/2000
05/31/2000
05/31/2000
1962
1962
1962
1962
1962
$11.00
$.45
$4.00
$10.00
$1.05
$26.s0
Grand Tota!
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
$65.00
1
1
OREGONCITY OF
225 Frrffi SIREEI
SPRrNGEIELO, oREGON 97 477
INSPECII0N REOUESTI 726-3769
oFPICE: 726-3759
1. IOCATION OF INSTALI.ATTONSnt u)a-2
IJGAL DESCRTPTION
a[u
Permi ts are non-transferable and expire
if vork is ttot started sithin 180 days
of issuance or if vork is suspended for
180 days.
?. COMRACTOR INSTAIJ,A:TTON OITLY
Electrical Contract
Address D,iA,'rv 33ail
Ci ty Phone..et{A tl.?l
upervisor ense Number /.41.1.1-
ExP iration Date lD'O(- o (
Constr Co ntr. Number -,q12 ,[U e-
Expiration Date Io -cst - oc)
si ture of Supervising Electrician
ovners ilar,e L,!-e-^r-t
Address
Ci ty rnon.- 3Q [1)5*
OIINER INSTALI,AITON
The installation is being nade on
property I own vhiih is not intended
for sale, lease or rent-
0sners Signature:
.-"iTE:
EIJCTRICAL PERHIT APPIJCATION
Ci ty Job Nnnbe ct2O * OOZq f-C:
3. COHPI,ETE FEE SCEEDUIJ BELOV
A. Nev Residential-Sing1e or
tlulti-Family per dvelling unit.
Service Included:
I tems Cos t
s 8s.001000 sq.ft. or less
each additional 500
sq. ft or portion
thereof
Each Hanuf 'd llone. cr
-Hodular 'Dve1ling
'sertice or Feeder
(
Sum
s 1s.00
.B
c
s 40.00
Services or Feeders
. Installation, Alterations
Relocat ion:
200 anps or less
201 anps to 400 "tps
-401 amps to 600 anps _601 anps to 1000 amps_
0ver 1000 aups/volts
Reconnect Only
Ternporary Services or Feeders
Installation, Alteration or Relocation
s 50.00
s 60.00
s100.00crrn nn9lJV. vv
s300.00
s 40.00
200 amps"or less
201 amps to 4oO amps
-0ver 401 to 600 amps
over 600 amps or fbOO voEs
D. Branch Circuits ; ..
Nev, Alteration or Extension Per panel
one circuit I s 3s.oo sjs..,
Each Additional
Circuit or vith Service
or Feeder Pernit
-
$ 2-00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Outline Lighting_
Limited Energy/Res
-
Limited Energy/Comm
5. SUBTOTAL OP ABOVE
7X state Surcharge
3Z Administrative Fee
TOTAL
s 40.00
s ss.00
$ 80.00
see rBil aSolE
s 40.00
s 40.00
s 20.00
$ 36.00
c,-()
RECETVED DI:
SPRI]IIGF!ELD
Job# 00-00845-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
TRAN$S:01-000196t
DATE: l'1AY 11 2000
Al'lT RECD:2 $ 26.50
CHANEE:
IASHIER:059
€n,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 510 Walnut Pl Spr
AssessorsMap#: 17033423
Lot: Block: Addition:
Job Number: 00-00845-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03600
Subdivision:
crTY oF SPRTNGFIELD, OREGON
Owner: Glen Hurt
Address: 510 Walnut Pl
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
Springfield, OR
Value: $O
Contractor Type
MechanicalContr
Contractor
Home Comfort Heating & Air Condit.
706 Oscar St, Eugene, OR
Registration # Expiration Date Phone
345-283-8
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 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.
Required lnspections
Mechanical
aqunu
lit,itBc
Rough Mechanical
Final Mechanical
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
-Prior to cover.
-When all mechanicalwork is complete.
# Of Stories:
Current Units:
Census Code: Does not apply
Heioht (feet):
t*OTtS&:units:
iH'id;Mrr 6irnt-i" r=xPIFE lF rHE wo*k
*,,OO''UD UNDER THIS PERMTT IS N'O]
Co*rtn cED oR ls ABANDoNEo FoHMain:Accessory Total
ANY 18ODAY PERIOD
Job# 00-00845-01 Page 2 of 2
Paid On Receipt# Value/Quantity Fee Amount
Mechanica!
Minimum Mechanical Permit
Mechanical Administrative Fee
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
05/31/2000
05/31/2000
0513112000
05t31t2000
05/31/2000
1962
1 962
1962
1962
1962
$11.00
$.45
$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 allwork
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 the is readable from the street.
$26.s0
f'- 3/ -c>a
--_-_
sig Date
Fee
1