HomeMy WebLinkAboutPermit Mechanical 2001-11-21
i1 .
Job# 01.01276-01
'"
Page 1 of 2
TRANS#:Ol-0007305
DATE:NOV 21 2001
AMT REeD:1 $ 61.75
CHANGE:
C?iSHIER ~ 061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01276-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 5952 G St Spr
Assessors Map#: 17023422
lot: Block: Addition:
Tax lot #:00405
Subdivision:
Owner:
Steve LeCoque
Phone Number: 541-747-2808.
City/State/Zip: ~/SP~~d, OR 97478
New ~~ ~~ue: $0
"... ~~ ~
~#xa
.~~ -<)<Q -~
<0 '$oJ U'
Contractor Type Contractor R~l~1>~ Expiration Date
Electrical Contr Reynolds Electric Inc ~. s:-~~<Q ~~ 2/8/2003
2175 W 2Nd Ave, Eugene, OR ~v ~ ~ & -;p<V.
97402-7103 . ~O ~<Q..~ &> q,<ff
Mechanical Contr AUTOMATIC HEAT CO. . A...~~V:-a~~ 10,Q.'200t-..
3675 FRANKLIN BLVD., EUGENE, ~~ ~~\A"4 D ,.,.
97403 Q ~ ""t'1 52.. l ~~~.Q.S
~ .v ~' 0' "'
Office Use ro0';:;'j~..::s ;;- t:;:)(;) -Q~
:,,s, ~o 0 ,o~ ,.,0
land Use: S'#Jj)f B'uilClings:to ~
. ....0 Q..... .'1:1' o..J ~ 0' ..0
Zonmg Code: ~ Q,,0csupa'!eY Gro.up:
Bedrooms: ,'1:1 ~H~t!S'olfr'egS'~v
0<::- '. ~ rJJ . 0\ "'\;' ..6~
Water Heater: Range: rof::$ -00 &S~~~~eot!ge:~....~
~-l:: ...0 L~ ~ ..0 ."'= _...'" .....V"
~':" o~ ~,' ~.....- u" ~~' ~-
To request an inspection call the 24 hour recording at 726-3769. All in~peq1ioQs~\eq!b-e-ste<a~efp?e 7:00
a.m. will be made the same working 'day, inspections requested afterf7:Q@Oa#~Will:-~fffl~~~b.g following
working day. f:~ ~~.,s:- fJi(J ~ ro~ cf -.:'0
~ 0 t;;~ Y:) ~ Ci Q'.0
R . d I t' ~. r. ()i -, _'0 ~ 8
eqUlre nspec IO.pS.~. ~ \V ~ ~ Ill"
~. ~ -.. ~ ,0 ~
Mechanical ~J2 R>(;)' -# ",tlt ()ro
.... (;)(;5 . u'li ~
<:;-.::5
Address:
5952 G Street
Scope Of Work: Heating System
Install heat pump
Phone
541-343-7297
541-726-7654
Quad Area:
# OJ Units:
Constr. Type:
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
..
i>
I
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet) ,
Main: Accessory:
I Job# 01-01276-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
11/20/2001 7300
11/20/2001 7300
11/20/2001 7300
11/20/2001 7300
Page 2 of 2
Value/Quantity
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanicallssuat;lce
State Surcharge - Mechanical
Total Mechanical
Mechanical
11/21/2001 7305
11/21/2001 7305
11/21/2001 7305
11/21/2001 7305
11/21/2001 7305
GrandT~tal .
_./
, \..---'
'. I..-
Signature
:::rI=-g-
---
Fee Amount
2
$.00
$46.00
$3.22
$3.68
$52.90
$33.00
$3.60
1 $12.00
$10.00
$3.15
$61.75
$114.65
If ~ z / -() I
Date
_ n. Jwing project as submitted has thetoJlowing
22) FIFTH STREET zoning and does not require specific land use ELEuRICAL PERMIT APPLICATION
SPRINGFIELD, ORE~rElV'liI77 .' ." ... . ..... .... .......C.. ....,.,. I
INSPECTION REQUEST: 726MRgL..-QR Cit)'Joh Numherl)/-dOV36. 0 ·
OFFICE: 726-3759 D.t .1:2'20.... (e)l..
a e _ ~
.. ,....~..... ......... ". .tt....,r .,.6 ........L-L-..y U? r...'......~. LETE FEE. SCHEDULE BELOW
1. LOCATION OF ThfS1!'1~~s\:'mNure"';~Ji
,"1(( 5c-;;' ..' G-- S'+, A. New Residential~Single or
Multi-Family per dwelling unit.
Service Included:
LEV-AIr DESCRIPTION
1702 'SL{Z Z
-
bOC{ 0 ~
Items Cost
SUI:n
JOp D~SCRIPT'ON
-A f r HLA- -rID__
(,+- Ex! stYli&-
1000 sq.ft. or less
C ( ~h additional 500
sq. ft or portion
thereof
Each ManuI'd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 19.00
$ 50.00
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 63.00
u $ 75.00
$125.00
$163.00
$375.00
$ 50.00
Expiration Date
200 amps or less .
201 amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
"B" above
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
CitY:5p-1 vYjC ~ IrI Phone ~ 7'-17-i)>\CYJ
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
for sale, lease or rent.
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
Owners Signature:
tfl1u4<Y::tt dJM C~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
.J".')
...:;,.. ~
Minimum Electric Permit Inspection Fee is $45.00 +SiliJ~~lr4rges
:1,i;~.
''?i . )Ii'
,~,~j ~'\ '5
".~..LpO
,::~', ,.7 .;-
'. 'c< ...g-. ,...... ----
I
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL
-'.j:,\.i...
The following project as submitted has the following
ZO' and does not require specific land use
225 FIFTH STREET ap~ ..d. L--t>~ ELECTRIL..~ PERMIT APPLICATION
SPRINGFIELD, OREGON 97~~f;ling
INSPECTION REQue~tl;: 726-3769 \'J..f1. 101. ~ City Job Number (J / -~/ 2 7~ "'01
OFFICE: 726-3759 . V~
AuttlOrized Signature ~:--e01YfrLEIE tEE ~cHEDULE BELOW
1. LOCATION OF INST ALLA TION
5~5"2- 4 ~T:'
LEGAL DESCRIPTION
/719 2. ~4 2..2-
Ot!J40S'"
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
JOB DESCRIPTION
Ta.roG~cu~Tr
1000 sq. ft. or less
Each additional 500
sq. ft or portion
$106.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
thereof
$ 19.00
Each Manufd Home or
Modular Dwelling
Service or Feeder
$ 50.00
2. CONTRACTOR INST ALLA TION ONLY
'~
B. Services or Feeders
Installation, Alterations or
Relocation:
e
AddressdD~ . ;;)!1€1ktt
City~tJ Phon~7:J97 .
Supervisor License Number ;::;l.5,;r)~
ID /0) /;1
( . C. Temporary Services or Feeders
Constr Contr. Number 1 7 ,:;;.,6 ~ Installation, Alteration or Relocation
Expiration Date Oc;-/O?iYJo3 200 amps or less
I I 201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
~ Over 600 amps or 1000 volts see
"B" above
r1~__A' _~
/ ~ /' L - -;::;,^A D.' Branch Circuits
?nersName 5/~;c &~~
New, Alteration or Extension Per Panel
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Expiration Date
$50.00
$69.00
$100.00
Address-.%fS2. c::; <5 T.
City 5A';' Phone 74.7-Z~~
OWNER INSTALLATION
One Circuit
L-- $~B.OO -1.3 -
Each Additional Circuit or with Service
or Feeder Permit --1- $ 3.00 S
The installation is being made on
property I own which -is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $50.00
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$25.00
$45.00
Owners Signature:
190:tl3IHSIjJ
: 39NtJHJ
06'G~ $ l:083d lWIj
1006 06 I~ON: 31ljQ
OO~LOOO-10:#SNIj~1
TOTAL
~.oo
:3. z.. z..
'3- t;.-.
-52 . $'0
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee