HomeMy WebLinkAboutPermit Mechanical 2000-6-2
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225 North Fifth Street
Springfield, OR 97477
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I Job# 00-00867-01 I
Page 1 of 2
TRANS#:01-0002009
DATE:JUN 02 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD? OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00867-01
*
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1332 Lawnridge Ave Spr
Assessors Map#: 17032522
Lot: Block: Addition:
Tax Lot #: 03100
Subdivision:
Owner: Roy Mills
Address: 1332 Lawnridge Ave
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Phone Number: 541-747-3741
CitylStatelZip: Springfield, OR 97477.
Alteration Value: $0
Contractor Registration # Expiration Date
Comfort Flow Heating CO NOTICE:460 EXPIREW2(i'iI~NORK
1951 Don St Ste D, Springfield,,\G>IR3PERMITSHALL IS PERMIT IS NOT
97477-1993 AUTHORIZED UNDER ~~ .."",~,!:n FOR
Offi~""l:I"'!:Nr.EUUt'l'':>''~''''- -
Ice" 5C
O DAY PERIOD.
, Land Use: ANY 18
Zoning Code:
Bedrooms:
Range:
Phone
541-726-0100
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections ~equesteq, before 7:00
a.m. will be made the same working day, inspections requested'after 7:00"a.m"will,be:maa~'the following
working day. 'f)\.\:P1ilo-'" \nl'(I'~l'_ \'" ',.,;'; ,. ._,*tf
,,'..]+1' .~. J~ .L' .
Required In.spections ". "
~. \: l' ;->.~
Mechanical' "..." ,11 .' l~. .:~
.,.' .' , .. at"
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
Rough Mechanical
Final Mechanical
- Prior to cover. r;.
-When all mechanical work is'complete:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-00867-01
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Page 2 of 2
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___ f"ee
Paid On Receipt#
Mechanical
06/0212000 2009
06/02/2000 2009
06/02/2000 2009
06/02/2000 2009
06/0212000 2009
ValuelQuantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
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
perfor ed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the Stat of Oregon. I further state that only contractors and employees who are in compliance with
ORSj70 .055 will be ed on this project. I further agree to ensure that all required inspections are .
requ st ~he pro. er time and that the project address is readable from the street. (; / li iJD
Signature- .\ ~ Dat~ ' .
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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225 FIFTH STREET -'vli>o "g 1 - VI'''s",''a""s ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~"a'S "C;lic:""'OII.' . .
INSPECTION REQUEST: 726-3769 ,s;g" "fIt>I:?co..;~h Numher.a.trJ8'(J' 7-(j L'
OFFICE: 726-3759 "0~ ~'
1.
LO~ATION OF I2~LATION
/33 L ClN.fl.dL.v
u
, LEGAL DESCRIPTION
II (] 3r :;},b d~ () ~/ t5l)
JOIJ... J;lES9ij.IPTION
/-1 ;/ /f..~.,.,..J/~1 eA-)
E FEE SCHEDULE BELOY
3
DATE:JUN 05 2000.
AMT RECD:2 $ 40.70
CHANGE:
CASHIER: 001
v Re . ential-Single or
Mul . Family per dvelling unit.
Service Included:
Items Cos t
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
serv~l)l~CE~eder . $ 40.00
,B. Serv i <;~ PlORK!l\!Q:'?-!i{lL EXPIRE IF THE WORK
/" dIns tal).f\Ulilll;vI:.A 1 teL'a.t.ilWiS PERMIT IS NOT
hJW(tP. or Relb'2a..til(,'tT!_uul~uc:n I I
, COMMENCED OR IS ABANDONED FOR
200 aw,.sr Pill)[l~~~ERIOr $ 50.00
201 amps to ~OO amps $ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 da's..I\ ;\..,.''4......,_. "." ",' '),;\..0'-'-'_ J'~"
, tOll0w rule~ adoptee< hI' th/' r)n;oor 'Jl"
2. Irco!h'RAtTOiftNSTAEtATION ONLY'"
'OAti:-:o~-,.:,_q.~I'n, . ,,\ "J .J:':" "'I ,~:~I',
Elec.Ci.i ~al' (,;6ii t-rac'fol-I',I(:(, fi:fR.d&?
caPtr.r ~h~ r:sP"Z. {~'j " . :.- .~
Addresslt@?1r.6'12 '(.'~ LJ'k,Y.'F~'3at;-
Ci ty >~ ;;~-;"~' ""':' ~:~~ne "'b g--If-tiL!/
Supervisor License Number ;JU~S
Expiration Date Jo/O/ jou
Constr Contr. Number 20 -:;)/<:-9 c.
Expiration Date 1';/.:100
Signature of Supervising Electrician
. ~--<- v/'}uW__
Ovners Name -pc)..... lYl'I_~
Address
I tLu^dl~~e; j
Phone 7 '17- 37 </1
/:132-
Ci ty SLN".
li
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
-------7-~-----------------------------
DATE: LI' -5- C5V '
RECEIPT 11: ,-,ll1 ':). L. . '
RECEIVED BY: Ir ryt/h..JA..U/';'1
$ 15.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits'
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit ($ 35~00
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
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