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Home My WebLink AboutPermit Mechanical 2001-08-16225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 528 Mill St Spr AssessorsMap#: 17033523 Lot: Block: Job# 01-00890-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Job Number: 01 -00890-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04700 Subdivision: Page 1 of SPRINGFIELD crrY oF SPRTNGFTELD, OREGOI' Owner: Tom Huhn Address: 528 MillSt Scope Of Work: Mechanical lnstall package unit Phone Number: Gity/State/Zip: New 541- Springfield, OR97477 Value: $0 Contractor Type Mechanical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Comfort Flow 1951 Don Street, Springfield, OR97477 Office Use Land Use: Zoning Code: Bedrooms: Range: Registration # Expi Phone 1-726-0100 ?ildings: pancy Group: Source: s$ sF'{Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All s 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 !nspections f Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Mechanica! -Prior to cover. -When all mechanicalwork is complete # Of Stories:Height (feet): Current Units: Proposed Units: Census Code: Does not apply Main (Sq. Feet) Accessory:Total: I lr-t-rttLrtt ' u_t. '. nn Tf . ni ifi 'i !ttlL!ttuL, J Atr? i,rtif,, h , nlll !\LLrLr,l { Job# 01-00890-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0811612001 08t16t2001 08t1612001 08t1612001 08t1612001 6452 6452 6452 6452 64s2 1 $33.00 $3.60 $12.00 $10.00 $3.1 5 $61.75 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 requ ested the proper tim and that the project address is readable from the street. $61.7s &t \,a,rotc Date z2s FrFrrlsrREEr ]ffi;:'#!%:'."1T:ff#,iH?*fi,""'ll",fi1",X'ts?-ucrtucAl pERMrr App,.rcArroN SPRINGFIELD, OREGO].APF'ryEI c,tt -Euf au-Phone b ?6'6 / I L INSPECTION REQUEST: OFFICE: 726-3'759 Date 1. LOCATION INST o n 76a) DES Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical /o Supervisor License Number 3 q?75 Expiration o/ Constr Contr 6t? Expiration Date t4So/o tl Signature of Supervising Electrician Owners Address ()t 5a{ The installation is being made on properly I own which is not intended for sale, lease or rent. c/ a03fo FEE SC}IEDULE BELOW New Residential-Single or Mnlti-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, 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 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 ztmps or 1000 volls see "Bt'above D. Branch Circuits fio ) New Alteration or Extension Per Panel 6rdrust, o1-iloilrr4'i: IATE: RUE I! 'JU01 Cost Sum $106.00 $ 19.00 $ s0.00 ciw S{La-pt o,," 2 /6--Q-{/ 7 OWI.TER INSTALLATION One Circuit I $43.00 Each Additional Circuit or with Senrice or Feeder Permit _t_ $ 3.00 _ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Oufline Lighting Limited Energy/Res Limited Energy/Comm $50.00 $50.00 $2s.00 $45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 5. SUBTOTALOFABOVE 7%oSlo;,.s Surcharge 8% Administrative Fee Owners Signature: TOTAL 7o $ 63.00 $ 7s.00 $125.00 $163.00 $375.00 $ 50.00 $s0.00 $69.00 $100.00 225 North Fifth Street Springfleld, OR97477 Location Of Proposed Site: 528 Mill St Spr AssessorsMap#: 17033523 Lot: Block: Job# 0{-00890-01 RESIDENTIAL PERMIT City Of Springfield Community Seruices Division Building Safety Addition: Page 1 of 2 Job Number: 01-00890-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04700 Subdivision: SPRINCiFIELE ctTY oF sPRt tGFtELq OREGON Owner: Tom Huhn Address: 528 MillSt Scope Of Work: Mechanical lnstallpackage unit Phone Number: City/State/Zip: New 541- Springfield, OR97477 Value: $0 Contractor Type Electrical Contr Mechanical Contr Contractor Ks Electric & Consultants lnc Po Box 24933, Eugene, OR97402-0444 Comfort Flow 1951 Don Street, Springfield, ORgT4lT Registration # 70889 Expiration Date 12t30t04 Phone 541-686-6236 541-726-0100 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 callthe 24hour recording a1726-3769. All inspections requested before 7:00a.m' will be made the same working day, inspections requested after Z:00 a.m. will lie made the followingworking day. Required lnspections Electrical Electrical Service -Must be approved to obtain permanent power Mechanical Rough Mechanical FinalMechanical -Prior to cover. -When all mechanical work is complete. I Job# 01 -00890-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total Page 2 of 2 Area (Sq. Main:Accessory Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0812212001 08t22t2001 08t2212001 0812212001 6497 6497 6497 6497 2 $.00 $46.00 $3.22 $3.68 $52.90 Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0811612001 08t16t2001 08t1612001 08t16t2001 0811612001 6452 6452 6452 6452 6452 1 $33.00 $3.60 $12.00 $10.00 $3.15 $61.75 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 $114.65 ORS 701.055 will be used on this project.to ensure that all required inspections are is readable from the street.req at the nd that the I further agree project address Z<_ Signature Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ *t