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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 I