The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2001-07-10J- Job# 01-00688-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of2 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2547 00035th Pl Spr AssessorsMap#: 00000000 Lot: Block: Addition Job Number: 01-00688-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 0000 Subdivision: ctTY oF SPRfiNGFfiEL4 OREGON Owner: Cory Churchill Address: 2547 35th Place Scope Of Work: Mechanical Phone Number: City/State/Zip: New Springfield, OR 97478 Value: $O Contractor Type ElectricalContr MechanicalContr Contractor Ks Electric & Consultants lnc Po Box 24933, Eugene, OR97402-0444 Comfort Flow Heating Co. 1951 Don Street, Springfield,, OR 97477-1993 i' "" *' i* l;l I H'Iff*i.;'mffi:,,, 460 Ai\iY i l;i, i',', OEFId$D s41-126-o1oo 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 call the 24 hour recording at726-3769. All inspections requested before 7:00a'm' will be made the same working day, inspectio=ns requested after z:00 a.m. wifrLe maOe the followingworking day. Rough Electrical Final Electrical Rough Mechanical FinalMechanical Required Inspections Electrical -Prior to cover. -When all electrical work is complete. Mechanical - Prior to cover. J-]3 --.i*.I CJ FJf) :]],_-E -{ =m ffi i:rlr- I ," S*!*:r (J C-{ ",# i;FE I HH:EIH ."' ;gc: r'.; H HtrbHH -When all mechanicalwork is complete I Jo 01-00688-01 # Of Stories: Height (feet): Gurrent Units: ProPosed Units Census Code: Does not aPPIY Page2 of 2 Gonstruction TYPes: Occupancy GrouPs: # Of Buildings: # Of Bedrooms: Handicap Access? (sq. Main:Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Electrica! Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 07t1012001 0711012001 07t1012001 6097 6097 6097 2 $37.00 $2.59 $1.11 $40.70 Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Miscellaneous Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanica! 07t06t2001 07t0612001 0710612001 07t06t2001 0710612001 0710612001 6074 6074 6074 6074 6074 6074 15 $.00 $.45 $.00 $15.00 $10.00 $1.05 $26.50 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 at the proper time and that the project address is readable from the street. Signature Date $67.20 7-ro- ot aI.J.lt\\brt I,JEGAL DESTRTPTION o '1- JOB \v' Ci ty Supervisor License Number 3 c/? 7t The installation is being made onproperty I olrn uhich is not intended f or sale, lease or relt t . Ovners Signature, DATE: Permits are non-transferable and expire if vork is not started vithin 180 days oi t".u"nce or i f vork is suspended for 180 days. 2. CONTRACTOR INSTALI.AIION ONLY r 11flQFrELD PER.HIT A}PLICATION City Job tlunber ra/oo0 r{o / 3. COHPI,ETE FEE SCEEDI,'I.E BELOIJ A. Neu Residential'-Slng1e or MuIti-Family per dve)-l'ing unit. Service Ineluded:Items Gost 1000 sq.ft. or less Eaeh additional 500 sq. ft or Portion thereof Each Hanuf'd Home. or Modular 'DveIling SerVice or Feed€r $ 8s.00 $ 40.00 rneto\\et\ng ze,flif\Br 6hd {EBigva\, U Zonlng Date 225 ETYTfl SIS,EET $&TicfiEt p, onncon 9a4q9n2e0 -BgnatureiusrsffroN ngot Esr t 726-3769 0FFICE: 726-3759 1 OF Sum Services or Feeders , Installation, Alterations 1/or Relocation:Electrical Contract or k < b: kzrfrc tGru Address 6.L Phrn{g[Iz 64.2 {- B. 200 amps or 201 amps to 401 anps to 601 amps to 0ver 1000 am Reconnect 0n less 400 amps 600 amps 1000 amp ps/vol ts 1y s $ 15.00 $ .50, 00 $ 60.00 $100.00 $130.00 $300.00s 40.00 Expiration Date o constr contr. Nrrmler Expiration Date.L / s ture of Supervising Eleetriclan ee rrB* a56EE D ers Name Address 9,;c/a A)3-#u New, Alteration or Extension Per Pane1 /33 $ 3s.00citPhone OSNER INSTALLATION 2q >'s $ 2.00 C. Temporary Services or PeedersInstallation, Alteration or Relocation 40.00 55.00 80.00 200 amps''or Less $ 201 amps to 400 amps - $0ver 401 to 600 anps - $over 600 arnps or 1000-T6f,[s s Branch Circui ts One Circuit *Each Additional Circui t or vi th Servicr,:,or Feeder Permi t l/I E. Hiscellaneous (Servtce/feeder not included) -Each ins tall"ation Pump or irrigation Sign/OutIine Lighti Limi ted Energy/Res Llnrited Energy/Comm nsl:$ 40,00 $ ao.oo s 20.00$ 36.00 5. SUBTOTAL OF ABOVE 7S State Surcharge 3Z Admlnistrative Fee r0reLRECEIUED o/-)6z) CITY no\ requtre speitltc \and use Job#01 -00688-0 1 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2547 00035th Pl Spr Assessors Map#: 00000000 Lot: Block: Addition: Job Number: 01-00688-01 Office: 726-3759 !nspection Line: 726-3769 Tax Lot#: 0000 Subdivision: ctrY oF SPRINGFTELD, OREGON Owner: Cory Churchill Address: 2547 35th Place Scope Of Work: Mechanical Phone Number: City/State/Zip: New Springfield, OR 97478 Value: $O Gontractor Type MechanicalContr Contractor Comfort Flow Heating Co. 1951 Don Street, Springfield,, OR 97477-1993 Registration # 460 Expiration Date 612712003 Phone 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 call the 24 hour recording at726-3769. All inspections 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 lnspections Mechanical Rough Mechanica! Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? - Prior to cover. -When all mechanicalwork is complete # Of Stories: Height (feet): Current Units: Proposed Units: Census Code:Does not apply Main (sq. Accessory:Total: 101ob#J Page 2 of 2 Paid On ReceiPt#ValuelQuant'ttY Fee Amount Mechanical Fee Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Miscellaneous Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 07t06t2001 0710612001 07106t2001 07t06t2001 0710612001 0710612001 6074 6074 6074 6074 6074 6074 15 $.00 $.4s $.00 $1s.00 $10.00 $1.05 $26.50 Grand Total By signature, hereby certify I state and agree that I have carefully examined the completed application and do that all information herein is true and correct, and I further ce rtify 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 701.055 wi used on this project. I further agree to ensure that all required inspections are at the p time and that the project address is readable from the street. ignature $26.50 0