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Home My WebLink AboutPermit Mechanical 2001-02-05SPRINGFIELD Job# 01-00099-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 €h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 473 Springdale St Spr AssessorsMap#: 17032242 Lot: Block: Addition: Job Number: 01-00099-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04600 Subdivision: CITY OF SPRINGFI ELD, OREGON Owner: Emery Hunt Address: 473 Springdale St Scope Of Work: Mechanical installgas furnace with AC Phone Number: City/State/Zip: New 541-747-9096 Springfield, OR97477 Value: $0 Contractor Type ElectricalContr MechanicalContr Contractor C&SElectriclnc Po Box 1482, Springfield, OR 97477-0189 AUTOMATIC HEAT CO. 3675 FRANKLIN BLVD., EUGENE, OR 97403 0000439 10t2t2001 Registration # 3849 Expiration Date 9t1t2000 Phone 541-741-2236 541-726-7654 Quad Area: # Of Units: Constr. Type: Water Heater: office use _ Land Use: Zoning Gode: Bedrooms:Ranse: t'jCITn$H: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: ro request an inspection carr the 24 hourrecordins at726-3r6erhiE,[F-E|tf"tT$,!&tri[EHrl?hH?,11 a.m. will be made the same working day, inspections requested #Ai.F/.ffirdifr\iWi)t1"ff€iiria?Et'tfeTUffciuifi.,Uu' working day. CCi,:ifuili\jCl:L,rCFr t5 ],B,AtjjOitED FOFI Required Inspections Mechanical - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. pressure ter -When all gas work is complete. -When all mechanicalwork is complete. qn nAV ptrtrl Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Job# 01-00099-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Gode: Does not apply Tota!: Page 2 of 2 Area (Sq Main:Accessory Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 02105t2001 02105t2001 0210512001 0210512001 02t05t2001 02t05t2001 4373 4373 4373 4373 4373 4373 1 1 $2.00 $7.00 $.45 $6.00 $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 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 on this project.I further agree to ensure that all required inspections are requested at p project address is readable from the street. Date $26.50 Z-;- o I Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ SF GFIELD The lollowing proiect as submitted has the lollowinp zoning. and does not require specific land use 225 FIF-IE STREET APPTOVAI ;;RrNai'il1p,^'onrcoN e7477 Zonins LDTZ INSPECII0N RE0UEST: 7&.t4 - ol OFPrcE : 726-37 59 Authorized Signature KW L L0cAI]g! ELECTRICAL PERHIT APPLICATION ty Job Number COHPLETE FEE SCHEDT'LE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost q *c OP INST si- LEGAL A B E oLl LaA Sum Perm i ts are non-transferable and expireif vork'is not started vithin 180 daysof issuance or if vorlt is suspended for 180 days. 2. CONTRACTOR INSTALI.ATTON ONLY 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Manuf'd Home. or - Modular Dvelling Service or Feeder one Circui t I Each Addi tionalCircuit or vith Service ior Feeder Permit i SUBTOTAL OF ABOVE 7% state Surcharge 3Z Administrative Fee TOTAL Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps 40J. amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reeonnect 0n1y Temporary Services or Feedersfnstalfation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-ttlTs see rrBrr "f,[!f- D. Branch Circui ts Nev, Alteration or Extension Per Panel 35 JO DE PTION $ 8s.00 $ ls.00 s 40.00 /IL '7 to cit Phone 1 / .2, Supe rv i sor License Number b\ Expiration Da," )0"0t-CI constr conrr. Numbe. 3Sqq trical Contrac """ P.c r3c'x i L\S 2- S s s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 C .Expiration Date - t;l- c'')- Signature of Supervising Electrician 0vners Name €tl Add ress '413 5,r'l A4 JaW- t-I,, rn Ci ty J Phone s3s $2 C,.f,t l ., JUr'. .'+ t. 1\-? rl o7 L 00 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. Ovners Signature: DATE' Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/0utIine Lighting- S Limited Energy/Res $Limited Energy/Comm $ not 40. 40. 20. 35. oo -?- included ) 00 00 00 ==-- -i-E__ 1 l=) f':J {3 'i:)(= 5 t-J 13..u (:}trRECEIVED B ozoc>a I *J(3 I 'J /) . Add