HomeMy WebLinkAboutPermit Mechanical 2002-7-30
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I Job# 02-00816-01 I
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Page 1 of 2
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00816-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2280 Marcola Rd Spr
Assessors Map#: 17032513
Lot: Block: Addition:
Tax Lot #: 01800
Subdivision:
~
Owner:
Phone Number:
City/State/Zip: .
New
Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Electrical Contr
Contractor
New Way Electric Inc
Po Box 21503, Eugene, OR 97402-0409
Registration #
51088
Expiration Date
6/27/2003
Phone
541-686-2365
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 at 726-3769. 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
Electrical
Rough Electrical
Electrical Service
Final Electrical
- Prior to cover.
- Must be approved to obtain permanent power.
-When all electrical work is complete,
I Mechanical
-Prior to cover. "
-When all mechanical work is complete.
Rough Mechanical
Final Mechanical
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
Fee
Minimum Electrical Permit Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
More than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
I Job# 02-00816-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Electrical
07/09/2002 9880
07/09/2002 9880
07/09/2002 9880
07/09/2002 9880
07/09/2002 9880
Mechanical
07/30/2002 10103
07/30/2002 10103
07/30/2002 10103
07/30/2002 10103
07/30/2002 10103
.
Height (feet):
Proposed Units:
Page 2 of 2
Value/Quantity
Fee Amount
1
8
$.00
$63.00
$24.00
$6.09
$6.96
$100.05
1
$30,00
$3.60
$15.00
$10,00
$3.15
$61.75
$161.80
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
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Date
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225 nrrn STREET . SPRlNGnELD,OR 97477 . PH:(54l)726-3753 . FAX: (540726.3689
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PERMIT WORKSHEET CityJobNumber (JA- (f7Jv'I(.,-O/
LOCATION.OFPROPOSEDWORK: J~ gO rn~ I2d .
ASSESSORS MAP:
TAX LOT:
OWNFF' ..SfJIeU'/bi-l8t.J) FAMILY P,efJ(l.,/I(!.G
ADDRESS: r2..2m !YltlhLll.PtI-. R.d
CITY: I SPR-IIUit=7GUJ STATE: 01:... ZIP: q 7 i..(7r"f
DESCRIPTION OF wcm:. Ifl/Smu. TLuO' 3PLIT :JY5TE/VL fJlf((lfJ1JDi17 bl'{fjN(-, fJ NI1<d-DV{T{.()oek.
(GAS F/JI?;.Jac/E- WIT"f-f AI'" (!.f;/Yo,nON(;lf!Sj
NEW: _ REMODEL: 7'1. ADDITION' DEMOLISB' OTHER: VALUE:
PHONF'
q.y&, - LtIRrJfl
NAME
ADDRESS
PHONE
ARCHlTECf'
CONTRACfOR'S NAME
GENERAL:
PLUMBIW"
MECHANICP.,,&trJol-l- {:loliJ ~M /%/ DmS!SJ.e./) Sdfd"l7if77 tileD
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ADDRESS
CONST.
CONTRACfOR #
EXPIRES PHONE
,
0/0.27 k3 1 cH -()/o()
ELEcrRICAL:
lW'~W~-~"."""'W'b=%W'$~. M'iiii%WdfM_
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rrEM
Main
Garage
Carport
SQ. IT. X $/SQ. IT. = VALUE
ITEM
FEE
Fixtures
Residential Bath(s) No,
Sanitary Sewer IT.
~'ater IT.
Total VaIlle
Building Permit Fee
Administrative Fee
State Surcharge
Total Fee
Ik"""':l:'."''''''=''";'''1\1''=''~Y-mp''';t'M\.'Qt.W;\%!Wt~~'%,'l@
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Furnace
Exhaust Hood
Vent fan No.
Wood Stove/Insert/Fireplace Unit
Storm Sewer
IT.
Plumbing Pennit
Administrative Fee
State Surcharge
Total Plumbing Fees
W'.qp7..{<<#;:.y//q<,(-:.;Y,",.~-_.,,'. --;,o.;;:,:p:~$mtY~,@:~Y:'%~W'@iI?<<~.:'~:~'0~""'~'.it
~ GEtLANEOUS~ _ l(M.1T~~ft,xl#&ifaxx ~~ .~}.:
f~~:::"':':"".':NN"(~,~",~"",.,,:.:.:.j&%,,,}:r_~p/_,,:. ~
Demolition
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10.-
ia. 7.s
State Issuance
Administrative Fee
Mechanical Pennit
zm: ~3Ii~~teJssuance
: 38N\!H8 Administrative Fee
~L, '19 $ Si.WSlli'h I ilk!
030003 or lnr:3lHOS
rOTOTOO ToW Mechiinical Pennit Fees
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4!:;. -
State Surcharge
Total MiScellaneous Permits
Pmws 12101