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Home My WebLink AboutPermit Mechanical 2000-6-13 '. Job# 00.00903.01 ~ , Page 1 of 2 TRANS~:01-0002128 DATE:JUN 13 2000 AMT RECD:2 $ 40.70 CHANGE: CASHIER: 061 RESIDENTIAL PERMIT City Of Springfield Commumty Services DIvIsion BUilding Safety Job Number 00-00903-01 225 North Fifth Street Springfield, OR 97477 Office 726-3759 Inspection Line 726-3769 Location Of Proposed Site 3757 Cherokee Dr Spr Assessors Map# 18020612 Lot Block Addition Tax Lot # 03900 SubdivIsion Owner Bill & Noreen Gray 3757 Cherokee Phone Number 541-746-3078 , City/State/Zip Springfield, OR 97477 New Value $0 Address Scope Of Work Mechanical Contractor Type Electrical Contr Contractor Ks Electric & Consultants Inc Po Box 24933, Eugene, OR 97402-0444 Comfort Flow Heating Co 1951 Don St Ste 0, Springfield, OR 97477-1993 Registration # 70889 Expiration Date 12/30/2000 Phone 541-686-6236 Mechanical Contr 460 6/27/2001 541-726-0100 # Of BUildings ,"d I L1,qC<.cUPjl'~8X ~r9up_~Ull"" juG. follow nl;l_e.iit, l>.9,u~ce:)y the Oregon Ulill!} [\jotlflcatI(Sq~F-ootage ose fI"les arf' set forti, - - ___ _ _" -.n....... ^"'oJ ]I I Vf"'\ll ;;:J,Ji:...-VV l-VV IV 411lVUtjll '-""'1 I VV__ v..... To request an inspection call the 24 hour recording at 726-3769 AlllnspectlSns Yequested)DefOre~7'00S of the rules by a m Will be made the same working day, inspections requested after 700 a rI\:l'l\lviIl_De'maaethe~f611(jwlng,telephone working day numbenorthe Oregon Utlht~, Notllicatlon CP'lt~... - i3v,r~ ....^~.v.,Q44) Quad Area # Of Umts Constr Type Water Heater Office Use Land Use Zoning Code Bedrooms Range ReqUired Inspections Electrical Rough Electrical Final Electrical - Prior to cover -When all electrical work IS complete Construction Types Occupancy Groups # Of Buildings # Of Bedrooms Handicap Access? D iArea (Sq Feet) I Main Accessory # Of Stories Current Umts Census Code Does not apply NOTICE: THIS PERMIT SHALL EXPIRE IFTHE WORK H&Jg1itl(tel!lf):D UNDER THIS PERMIT IS NOT ~1kl~glllJl()R IS ABANDONED FOR ANY 180 DAY PERIOD Total Fee Job# 00-00903-01 I Paid On Recelpt# Electrical 06/13/2000 2128 06/13/2000 2128 06/13/2000 2128 Page 2 of2 Value/Quantity Fee Amount Branch CircUits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 2 $37 00 $259 $1 11 $40 70 MInimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechamcal Mechamcal 06/08/2000 2081 06/08/2000 2081 06/08/2000 2081 06/08/2000 2081 0610812000 2081 $900 $ 45 $600 $1000 $105 $26 50 $67 20 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 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 Signature Date ~e;j taG) ii&-i:J;7 h'1 8 svb",,\\ed :c~~C land "S. DATE: JUN 13 2000 ?<OI.C\ ~s,.<\\l"e s? AMT RECD: 2 $ 40.70 I\O..,n\l eS nO .tJ ~ CHANGE: ~~~'~~\l ~nd dO U'5- CASHIER: 061 a.??(O'lla. 9 ~~ 225 FIFTH STREET 1.0n1nt;","> CTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 '~ ~ INSPECTION REQUEST: 726-3J'iJ9 S\\lna\\lle Clty Job NumberOO -00 (OS --0' OFFICE: 726-3759 ~,-,\l\O"2ed 3. 1. LOCATION OF IN~MLATIO}l -,...", . 1 757 I f1..LA.. i) leu:> uc LEGAL DESCRIPTION if DE~ON I J/ J? . ,It L~L /~r './1J? PermIts are non-transferable and expIre If work IS not started wIthIn 180 days of Issuance 01 If work IS suspended for 180 days COMPLETE FEE SCHEDULE BELO~ A. New ResIdentIal-SIngle or MultI-FamIly per dwellIng unIt SerVIce Included' Items 1000 sq ft or less Each addItIonal 500 sq ft or portIon thereof Each Manuf'd Home or Modular DwellIng SerVIce or Feeder Electncal ContractorJ("" )'EIt?...t1,1'. . Address (J,C>,J c,c CIty /C.I'(f" :' Supervl,nr LIcense Number B. SerVIces or Feeders /' J InstallatIon, AlteratIons ~(?lIeu/tor 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 2. CONTRACTOR INSTALLATION ONLY EXpIratIon Date '2-Y"r.1 .3 Phone hftf~//,/t/ ~t(97S / 6///'~O 76~'f..' / ~/36/6Q ConsU Cont1 Number EXpll atIon Date Slgnature of Supervlslng ElectrlClan ~.r'AA~)) / owne~ NameJJ(J/~::~ /1~, u.. ~~ Address 3 7 S'? ('~42.e. Pe. CI ty 56 <.41 Phon", 'SIb' 307.rf' OWNER INSTALLATION Cost Sum $ 85 00 $ 15 00 $ 40 00 $ 50 00 $ 60 00 $100 00 $130 00 $300 00 $ 40 00 C. Temporary SerVIces or Feeders InstallatIon, AlteratIon or RelocatIon 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% AdmInIstratIve Fee TOTAL 200 amps 201 amps Over 401 Over 600 'or less to 400 amps to 600 amps amps 01 1000 $ 40 00 $ 55 00 $ 80 00 volts see IIBII above New, Alte1atIon or ExtensIon Per Panel ( $ 35 00 $ 2 00 D. Branch CIrCUIts E. MIscellaneous (ServIce/feeder not Included) -Each InstallatIon Pump or IrngatIon $ 40 00 SIgn/OutlIne LIghtIng $ 40 00 LImIted Energy/Res $ 20.00 LImIted Energy/Comm $ 36.00 The InstallatIon IS beIng made on property I own WhICh IS not Intended for sale, lease or rent Owners SIgnature: --------------------------------------- DATE: RECEIPT JI' RECEIVED BY. One CIrCUIt Each Add 1 tl onal CIrCUIt 01 WIth SerVIc1 or Feeder PermI t I