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Home My WebLink AboutPermit 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,,