HomeMy WebLinkAboutPermit Mechanical 2000-11-29SPRINGFIELD
Job# 00-01728-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 ot2
TRANSS:01-0003894
0ftTE:N[U 29 ?000
AHT RE[D:2 $ 38.50
IHAI{GE:
IAEHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1550 00042nd St Spr
AssessorsMap#: 17023000
Lot: Block: Addition:
Job Number: 00-01 728-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00403
Subdivision:
crTY oF SPR NGFTELD, OREGOTU
Owner: Rainbow Water District
Address: 1550 42nd St
Scope Of Work: Mechanical
replace packaged heat pump
Phone Number:
City/State/Zip:
New
541-746-1676
Springfield, OR97477
Vatue: $O
Contractor Type
ElectricalContr
MechanicalContr
Contractor
Jb Electric lnc
4065 W 1 1Th #18, Eugene, OR 97402
CommercialAir lnc
1 665 lrving Rd, Eugene, OR 97 402-2479
Registration #
104929
Expiration Date
3t14t2004
Phone
541-687-5770
541461-48211 1 0075 1211812001
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 at726-3769. 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 Inspections
Mechanical
Rough Mechanical
Fina! Mechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Area (Sq. Feet)
Main:Accessory:Total
Job# 00-01728-01 Page 2 of 2
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
11t29t2000
11t29t2000
11t29t2000
3894
3894
3894
$35.00
$2.4s
$1.05
$38.50
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
11t28t2000
11128t2000
11t28t2000
11t28t2000
11t28t2000
3BBO
3BBO
3880
3BBO
3BBO
1
$9.00
$.4s
$6.00
$10.00
$1.0s
$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 workperformed shall be done in accordance with the Ordinances of the City of SpringfielO anO tne Laws oftl'g ^Stglu of Oregon. I further state that only contractors and employeLs who ar-e in compliance with
ORS 701.055 will be used on this project. I further agree to ensure-that all required inspections arerequested at the proper time and that the project address is readable from the street.
$65.00
Signature Date
1
DEV ELO P M E NT S E R V I C ES D EPARTM E NT
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97 477
INSPECTION REQITEST z 726-37
OFFICE: 726-3759
1.
LEGAI DESCRIPTION
iVe,e-TYp cg-|03
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days 9C-q6C
2. CONTRACTOR INSTALI-ATION ONLY
EIec t ri cal Contractor
maress/J A -//r +#
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:ftems Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B Services or Feeders
InstalIation, Alterations
or Relocation:)TIT
SP iFIELD
ernlBu6!S
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect 0n1y
225 FIFTH STREET
SPRINGFIELD OR 97.t7/'
t51i ) 726-3153
$ 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
$130.00
s300.00
$ 40.00
00
00
00
00
Ci ty
Supe rv 1s License N
Pho
umbe
Expiration Date,
Constr Contr. Number
Expiration Date t
Signa
Ovners ame
Electrician
Address
Ci ty Phone
OVNER TION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners Signature:
DATE:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ tq.gq
201 amps to 400 amps
-
$ ::.99
0ver 40L to 600 amPs
-
$ 80.00
0ver 600 amps or 1b0O voTts see rrBrr amt
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circui t --t- $ 3s. oo 35-
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAL
ild
$40
$40
$20
$36
5
RECEIVED BI:
6utuo7
APPLICATION
-a
3. COI,IPLETE FEE SCEEDIILE BELOII
SPRINGF!ELD
Job# 00-01 728-01
COMMERCIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
TRANSS:01-0003880
DATE:NI]V ?E 2OOO
Al{T RE[D:? $ 26.50
IHflNEE:
[ASHItR:0f,].
h,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1550 00042nd St Spr
AssessorsMap#: 17023000
Lot: Block: Addition:
Job Number: 00-01 728-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00403
Subdivision:
GITY OF SPRINGFiELD, OREGOTU
Owner: Rainbow Water District
Address: 1550 42nd St
Scope Of Work: Mechanical
replace packaged heat pump
Phone Number:
City/State/Zip:
New
541-746-1676
Springfield, OR97477
Value: $0
Contractor Type
Mechanical Contr
Contractor
CommercialAir lnc
1665 lrving Rd, Eugene, OR97402-2479
Registration #
1 1 0075
Expiration Date
1211812001
Phone
541-461-4821
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 at726-3769. 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
Rough Mechanical
Final Mechanica!
Area (Sq.
Main:
-Prior to cover.
-When all mechanicalwork is complete
to
ity
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
e52-001-
) r,Jlss by
phone
fication
Accessory:Total:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? !
).
Job# 00-01728-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Tota! Mechanical
Mechanica!
11t28t2000
1112812000
11t28t2000
11t28t2000
11t28t2000
3880
3880
3BBO
3880
3880
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 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 ntractors and employees who are in compliance with
oRS 701 will be used on agree to ensure that all required inspections are
proper ress is readable from the street.
sig Date
$26.50
.-)d,,