HomeMy WebLinkAboutPermit Mechanical 2000-10-18
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I Job# 00-01538-01
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Page 1 of 2
TRANS#:01-0003517
DATE:OCT 18 2000
AMT RECD:2 $ 40.70
CHANGE:
CASHIER:059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01538-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 404 Blackstone Ct Spr
Assessors Map#: 17032334
lot: Block: Addition:
Tax lot #: 07600
Subdivision:
Owner:
Karl Grimes
404 Blackstone Court
Phone Number:
City/State/Zip: Springfield, OR
Alteration Value: $0
Address:
Scope Of Work: Mechanical
New Heat Pump and Air Handler
Mechanical Contr
. .. , t.
ri.i I t\; I ,ltjl\l '-"r....\'... :..;.. '{..or' -"'..l(.
.. '''':,,:,.' U~l . '.J""fU~i0,"-' jU'v (I.
Contractor fo!,?w ~ule~ adRegist~~tion (#re~J~pUi~tiRn Date
. NotifIcatIon Cem.::.. rt:1QS I "C""
Jb Electric Inc in OAR 952 0010 19,4929 e ru es e3r-1i19~(j)04\i,
. -' - - vlUtnroughOAR952-001-
4065 W 11 Th #18, EugenSlO@B. ~t4.P,41ay obtain copies of the r ,
l"\"'II!r!,-Ahe ' t' ' ules by
Home Comfort Heating & Air'-eonoit~ Cer84\16,4~ote: the teRJ~8(f.9fl1
Po Box 24205, Eugene, 0R1~74~'2rfor the Oregon Utility Notification
.", '(;~ntt'ii" ir.~" 'r _on!"l !)"'n~ ^n J, .11\
" "-\.7--""
Office Use
Phone
541-687-5770
Contractor Type
. Electrical Contr
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
land Use:
Zoning Code:
Bedrooms:
Range:
~u fV'il'" a "" I"'"
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
,...", ~ !~~Il
To req~est an inspection call the ,24 hour ~ecordr~~~a.t)lt~~J'WY8~-i,4~~~~By~ggg$,..fegu^este? before 7:0~
a.m. Will be made the same working day, Inspe~10Fl~6eg~e,sted after 7:00' a:m. wITFiMQ'atle the follOWing
working day, v I HI t::U UNDER THIS PERMIT IS NOT
. COMf'fJENCED OR.lS ABANO()I\IJ=n !::nD
~~~U"8D~~i~?t. -
.1 Electrical . I
Final Electrical - When all electrical work is complete.
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
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Job# 00-01538-01 .1
Page 2 of 2'
Construction Types: .
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Uriits:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
I
Paid On Receipt#
Electrical
1.0/18/2.0.0.0 3517
1.0/18/2.0.0.0 3517
1.0/18/2.0.0.0 3517
. Va'1uelQuantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
2
$37..0.0
$2.59
$1.11
$40.70
Minimum Mechanical Permit
Mechanical Administrative Fee.
1.0;.0.0.0 Cubic Feet or Less
Unit/Heater
Mechanical Issuance
State Surcharge For Mechanical P.ermit.
Total Mechanical
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that allinforlT]ation 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 7.01,.055 will be used on this project. J further agree to ensure that all required inspections are.
requested at the proper time ~nd that the project address is readable from the street.
Mechanical
1.0/13/2.0.0.0 3475
1.0/13/2.0.0.0 3475
1.0/13/2.0.0.0 3475
1.0/13/2.0.0.0 3475
1.0/13/2.0.0.0 3475
1.0/13/2.0.0.0 3475
1
1
$5..0.0
$.45
$4..0.0
$6..0.0
$1.0..0.0
$1..05
$26.50
$67.20
Signature
Date
e'~
.
;~-
,@ DO
, t as subl1l1 ' , \ d use.
,he following projec neQuire specifIc an
zoning, and doe~ nO .II .
approval. ,)...D 'v
, ZoningJ'L _
}O '" If7 "..,.
Date "'E'LECTRICAL PERMIT APPLICATION
9 7 ~~~ori2ed Signature tJ J
726-3769 City JobNumber OO-()5}~'" ( ,
3 . COMPLETE FEE, SCHEDULE BELO"\.l
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726~3759
1., LOC/1T~/ OF ~~S~~TION D-L'
LI I) LL ,/ ) () (I jf/)/Un () l 'i-'f
.. - I ' ,
LEGAL DESCRIPTION
IT 0 '~.~,",)3.'~ 0 ~6'DD
JO,B,DESCRIPTION
fft Jlf(J -' '
Permits are non-transferable' and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .(}),-~t5;3
2. CONTRACTOR INSTALLATIONONLYB.
Electrical contractoJBEI f CTl? tOJ)TVlC/
.J.Jrj ft '
Address UOlvS iJ'). / Ie ,-If! ' .
o' "
City ru.C~/_ne.. Phone IJl~--''''}-'''51:r()
Supervisor License Number (".~((1-d.. 8
Expi ra rion Da te i. hI I / () I
If' .
Constr Contr. Number~-lSS7--G
Expiration Date .' itJ; l()~
'I / .
SignaturrlFf~iSi,ngElectri,cian
, ;; I'O~ --:-
owners{am~ furlei Rria- ;{;YJ//J1/dJ.
o - ''-7' J.
Address L/6LJ ,{2)OPLS-!cmo ri-
Ci tY~.R.fl;hone-c1lJJr :2,.~/
mINER IksfALLATION' .
New Residential-Single or
Multi-Family p~r dwelling unit.
Service Included:
A.
1000sq,ft. or less
Each additional 500
sq. ft or,portion
thereof .
Each Manuf'd Ho~e.or
Modular Dwelling
Ser~ice' or Feeder
Services or Feedert
Installationi Alterations
or Relocation:
200 amps or: less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.Temporary Services oi-Feeder~
Installation,Alteratio~ or Relocation
The ins tallation is being made on
property I.own \\'hich'is not intended
for sale, lease or reni.
Owner~ Signature:
-----------~---------------------------
DATE:
RECEIPT #:
RECEIVED'BY:
200 amps' 'or less
201 amps to 400 amps:
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
. $ 55.00
. $ 8,0.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
$ 35.00 c36. (fD
One Circuit
Each Additf~nal
Circ~{t or with .Service
or Feeder Permii {
i'
I
$ 2.00
~ct)
. not included)
Miscellaneous {Service/feeder
-Each installation
Pump or irrigition
Sign/Outline LightIng
Limited Energy/Res
Limited Energy/Crimm
E.
s.
.SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00'
20.00
36.00
$
$
$
$
3 'i:oD
rVD 59
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