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Home My WebLink AboutPermit Mechanical 2002-08-07SPRINGFIELD 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 544 AssessorsMap#: 17032242 Lot: Block: Job# 02-00933-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Seruices Division Building Safety Springdale Ave Spr Page 1 ot2 Job Number: 02-00933-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #:05900 crTY oF SPR7NGFIELD, OREGO^' Owner: Ray Fleck Address: 544 Springdale Ave Scope Of Work: Mechanical Phone Number: Alteration n AR952'00 i44) lnstall gas furnace / Air Conditioner / log set Contractor Type ElectricalContr MechanicalContr Contractor K S Electric PO Box 24933, Eugene, OR 97402 Comfort Flow Heating Co 1951 Don Street, Springfield, OR97477 Registration # 70889 Expiration Date 12t30t2004 Phone 541-688-1614 541-726-0100004606t27t2003 Quad Area: # Of Units: Gonstr. Type: Water Heater: Office Use - Land Use: Zoning Code: N0TICE: Bedrooms: Range: # Of Buildings: Occupancy Group: irrrS F[iri,4iT SHALL ttffilPg?fE W0 RK AUTHORIZED UNDER M Required lnspections Electrical - Prior to cover. -When all electrical work is complete. Fp,eTo request an inspection call the 24 hour recording at 7 a.m. will be made the same working day, inspections requ working day. made the following Rough Electrical Final Electrical Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. F, Main: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Accessory:Total: Job# 02-00933-01 Page2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service Branch Circuits With Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 08t0712002 08t07t2002 08t07t2002 08t07t2002 0810712002 1 0205 1 0205 10205 1 0205 1 0205 1 1 $.00 $43.00 $3.00 $3.22 $3.68 $52.90 Mechanical One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU 3hp-- 100,000BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 08t01t2002 08t01t2002 08t01t2002 08101t2002 08t01t2002 08t01t2002 08t01t2002 10142 10142 10142 10142 10142 10142 10142 1 $4.00 $17.00 $3 60 $12.00 $12.00 $10.00 $3.1 5 $61.75 1 1 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 $114.65 Date approval zoning I h€ tollovllttg proieot as submitted has the following ,,,,,,,r,f ,no-o'oe6 not require specific land use t-Dn- SP] ;FIELE' COHPIJTE PEE SCMDULE BELOII New Residential-Single or IIulti-FamiIy Per dvelling unit' Service Included: f tems a--o,CAL PERHIT APPLICATION ty Job Number 0l - Doq73- o t 225 FTFTH STREET SPRINGFIETJ, OREGON INSPECTION REQTIEST: oFPICE: 726-3759 I jr,rt€, 97 477 126:'3769 Srgnatufe 1. LOCATION OF INSTAII,A ON// 3 A 1 *Ob DESgRIPTION"2".-Q'2-I,EGAI bqco Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum Permits are non-transferable and expire if vork is not started uithin 180 days oi ii.u.nce or if vork is suspended for 1B0 days. 2. CONTRACTOR INSTAIT,ATION ONLY JOB SCRIPTION Electrical Contracto Addres Ci ty B. Services or Feeders , Installation, Alterations 61!{-7,(,r Relocation: 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL Supervisor License Number 3 777s Expiration Date o o/ Constr Contr. Numrber o Expiration Date 3 0 Signature of Supervising Electrician 50.00 60.00 l_00. 00 130. 00 300.00 40.00 eloca t 10n above 40.00 55.00 80.00 ee ItBlt Branch Circuits Nev, Alteration or Extension Per Pane1 onecircuit I $35'oo Each Additional Circuit or vith Service o.-f""a"tPermit I $ 2'00 Miscellaneous (Service/feeder not included) L 0w ners Name Add ress Ci ty pt,on"L& 6 423 e J Phone 7 {6 - 63€-3 C|AK 4) ?rcu-OVNER IN €! s =fc T,ATION -l)zai is bei _*)STAL tJ- fFe infi5T1at 10n ng made on prop erty I ovn vhich is not intended sa1e, lease or rent' -Each installation Pump or irrigation Sign/Outline Light itg- Limited EnergY/Res _._- Limited EnergY/Comm D E s $ $ s 0040 40 20 00 00 DATE: RECEIVED 5 36.00 V 601 amps 0ver 1000 to L000 amps_ 1tsamps/vo Only amps 2 200 amps or less 201 amps to 400 amPs 40L amps to 600 amPs TftIS $ $ANY 0ver 0ver to 600 amps amps or ibOo-vofTs600 Owners Signature: DI SPRINGFIELD Job# 02-00933-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 02-00933-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 05900 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 544 Springdale Ave Spr Assessors Map#: 17032242 Lot: Block: Addition: clTY oF SPRINGFIELD, OREGON Owner: Ray Fleck Address: 544 Springdale Ave Scope Of Work: Mechanical Phone Number: City/State/Zip: Alteration 541 -746-0388 Springfield, OR97477 Value: $0 lnstall gas furnace / Air Conditioner / log set Contractor Type MechanicalContr Contractor Comfort Flow Heating Co 1951 Don Street, Springfield, OR97477 ffi '"'tfiiffi m,itru,ffilm**tt Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: Occupancy Group: Heat Source: Sq. Footage::,w requ rres You to To request an inspection call the 24 hour a.m. will be made the same working day, working day Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory: Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU 3hp-- 100,000BTU Mechanical lssuance 08t01t2002 08t0112002 08t01t2002 08101t2002 08t01t2002 08t01t2002 10142 10142 10142 10142 10142 10142 I $4.00 $17.00 $3.60 $12.00 $12.00 $10.00 1 1 S requested after Job# 02-00933-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical Mechanical 08t01t2002 10142 $3.1 5 $6{.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 requested at the proper time and that the project address is readable from the street. i-rl A"*. '- 1-0-b"1 .Art-t' \ Sisr"il;-l $61.75 6 oI c-"2 \-J(_- Date