HomeMy WebLinkAboutPermit Mechanical 2000-07-10SPRINCFTELD Job#00-01 075-01
Addition:
Page 1 of2
Job Number: 00-01 075-01
Office: T26-3T59
lnspection Line: 726-3769
Tax Lot#: 00600
Subdivision:
541-484-6693
Eugene, OR
Value: $O
TRANSfl:01-000?S1E
DATE:JUL ].0 2OOO
At'1T RE[D:2 $ 79.10
IHANGE:
CftSHIER:032RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety225 North Fifth Street
Springfietd, OR9T47T
Location Of proposed Site: 2600 00031st St
AssessorsMap#: 11021932
Lot: Block:
Owner: EarlMcHaney
Address: 975 Wiilagiilespie Rd
Scope Of Work: Mechanical
spr
Phone Number:
City/State/Zip:
New
OF SPRINGFIELYct7 4 OREGON
Contractor Type
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
office use _
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Contractor
Home Comfort Heating & Air Condit*
Po Box 24205, Eugene, OR 97402
Registration #
84164
Expiration Date
6t25t01
Phone
541-345-2838
To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00a'm. will be made the same working day, inspections requested after z:OO a.m. will be made the following
working day.
Rough Mechanical
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Area (Sq.
Main:
Required lnspections
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
lrrjsTtcE:
TH!S PEHIIIT SHALL EXPIRE IF THE WOHK
COMI\NENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Accessory:Total
t
Job# 00-01075-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
3hp - - 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
0711012000
07t10t2000
0711012000
07t10t2000
07110t2000
2s18
2518
2518
2518
2518
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
requested at readable from the street.
Date
$26.50
7-z2 -e<))
ctTY oF sPRtntGFtELq OREGOI|
Job# 00-01 075-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
spr
Addition:
Pase 1 oft&ANSS:01-000?869
DATE:AUE O? ?OOO
AHT RE[D:? $ ]8.50
CHffI'{GE:
IASHIER:059
SPRIiIGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2600 00031st St
AssessorsMap#: 17021932
Lot: Block:
Owner: EarlMcHaney
Address: 975 Wiilagiltespie Rd.
Scope Of Work: Mechanical
Job Number: 00-01 075-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00600
Subdivision:
PhoneNumber: 541-484-6693
City/State/Zip: Eugene, OR
New Value: $O
Contractor Type
Electrical Contr
Mechanical Contr
Contractor
Jb Electric lnc
4065 W 11Th #18, Eugene, OR9T4O2
Home Comfort Heating & Air Condit*
Po Box 24205, Eugene, OR9T4O2
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour
a.m. will be made the same working
working day
Rough Mechanical
FinalMechanical
Office Use
-
.''t:"'
Land Use:
Zoning Code
Bedrooms:
Range:
Required lns
cal
- Prior to cover.
-When all mechanicalwork is complete.
day,
recording aI726-3769. All inspections requested before 7:00
inspections requested after 7:00 a.m. will be made the following
a
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
ZED UNDEBTHIS PERMIT IS NOI
Final Electrical -When allelectricalwork is com
Mechanical
nU
PEFIOD
Job# 00-01075-01
# Of Stories: Height (feet):
Current Units: ProPosed Units:
Census Code: Does not aPPIY
Total:
Page 2 of 2
Construction TYPes:
Occupancy GrouPs:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
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 Electrical
0B/09/2000
0B/09/2000
0B/09/2000
2869
2869
2869
$35.00
$2.45
$1.05
$38.50
Minimum Mechanical Permit
Mechanical Administrative Fee
3hp-- 100,000BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Tota! Mechanical
Mechanical
0711012000
07t1012000
0711012000
0711012000
0711012000
2518
2518
2518
2518
2518
$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
n6re6'y certify that all information herein is true and correct, and I further certify that any and all work
perfor''nreO shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
ine State of Oregon. I further state that only contractors and employees who are in. compliance with
ORS 701.055 wilt 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
$6s.00
1
1
C'TV OF
225 FTFTE STREET
SPRINGFIEI.,D, OREGON
INSPECTION REQI.IEST:
oFFICE z 726-3759
ASS ubmitted has the tollowing
I fir'r lollow lllg prolect
uire sPecilic land use
aOtllllg' and does not req
llJ,rpproval l-.0
Zoning at -aO974,.12 77
69
.irilrorlzed Signature
ON
S^q!NGFIELO
ELE TRICAI. PERHIT APPLICATION
Ci ty Job Nurnber OO'O w-o/
3. COHPLETE FEE SCtrEDI,I,E BELOV
A.Nev Residential-Single or
MuIti-Family per dvelling unit
Service Included:
I tems
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Hodular Dwelling
SerVice or Feeder
Cos t
s 8s.00
s 15.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
1 LOCATION OF INST
PTION AJ Sum
DESCRTPTI
- L-on
Permits are non-transferable and expire
if vork is not started vithin 1BO days
of issuance or if vork is suspended for
180 days. +F77Ll*l
2. COMRACTOR INSTALI.,ATION ONLY
etcElectrical Contracto
naaress 40 /J {l l\ *tA
Ci ty Phone
Supervtsor License Number
Expiration Date ()
Constr Contr. Number
Expiration Date
Si f.ing Electrician
0wners
Address
Ci ty.Phone -lqt ILK{
Temporary Services or Feeders
Insiallation, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-Over 401 to 600 amPs
0ver 600 amps or fOOO-voTT
200 amps or Less
201 amps to 400 amPs
-40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/voIts
-
Reconnect 0n1Y
SUBTOTAL OF ABOVE
aZ State Surcharge
1Z aarini.s trative Fee
TOTAI
00
00
00
00
ss0
s60
s100
$130
s300
s40
$ 40.00
$ ss.00
$ 80.00
s see rrBrr a
.00
.00
D
C
E
Branch Circuits
:
Nev, Alteration or Extension Per Panel
Sove
3{-
OVNER INSTALLATION
The installation is being made on
piop"tty I own vhiih is not intended
lor sale, Iease or rent'
Omers Signature:
,l
one(circuit L $ 35'oo
Eacti Additional
Ciircuit or with Service
;;-F;;d";Permit
-
$ 2'oo
Misiellaneous (Service/feeder not i
-Each installation
Pump or irrigation
-
Sign/Ou tline Light ing-
Limi ted EnergY/Res
-
Limited EnergY/Comm
ncluded )
$ 40.00
$ 40.00
$ 2o.oo
s 36.00
DATE:
RBCEIVED
5
t
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