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Home My WebLink AboutPermit Mechanical 2001-05-09Job# 01-00475-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 SPRINGFTELD AMT BTilN=Tnl l: l\LLrU.L \iJL = 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2581 Viewmont Ave Spr AssessorsMap#: 17032441 Lot: Block: Addition: Job Number: 01-00475-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00119 Subdivision: ctTY oF SPRTNGFIELD, OREGON Owner: Frances Wilcox Address: 2581 Viewmont Ave Scope Of Work: Mechanical heat pump Phone Number: City/State/Zip: New 541-7464164 Springfield, OR97477 Vatue: $O Gontractor Type MechanicalContr Gontractor Comfort Flow Heating 1951 Don Street, Springfield, OR97477 Registration # 460 Expiration Date 513t2001 Phone 541-726-0100 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage:Range: To request an inspection call the 24 hour a.m. will be made the same working day, working day. Rough Mechanical FinalMechanical s requested before 7:00 will be made the following Required Mechanical - Prior to cover. -When all mechanicalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply I Gonstruction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main:Accessory:Tota!: ion Cente recording flre AY PE,RIOD Job# 01-00475-01 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 05/09/2001 05/09/2001 0510912001 0s/09/2001 05/09/2001 5242 5242 5242 5242 5242 1 $9.00 $.45 $6.00 $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 of Oregon. I further state that only contractors and employees who are in compliance with 1.055 will used on this project. I further agree to ensure that all required inspections are at the time and that the project address is readable from the street. Signature $26.s0 o OREGONCITY OF si NGFIELI) 225 FTFTE SIts.EET Zoning SPRINGFTELD,oREGON 97477 IIISPEGTION REQI.IBST : 0FEIGB: ?26'3759 r\,rtrrorrzedSignature 1. TOCATION The tollowing P roiect AS submitted has the lollowing zontng and does not require specific land use apProval D {LII ELECTRICAI PBRHIT APPLICATION Ci ty Job xr*a"= Ql -? 9, 4 7 l- ? / 3. COHPLETE FEE SCEEDI'LE BELOII A. Ner.r Residential-single or Hulti-FamiIY Per dvelling unit' Service Incl'uded: I t,ems Cost 58/ I.EGAL DESCRTPTION Sum6 PTI Electrical Contracto s Permits are non'transferable and expire ii-"ort is not started vithin 3'80 days oi iiiu"nc€ or if uork is suspended for 180 days. 2. CONTRACTOR INSTALINTTON ONLY 1000 sq.ft. or less Each addltional 500 sq. ft or Portion thereof Each l'lanuf 'd Home' or Modular 'Dvelling SerVice or Feeder .8. Services or Feeders Installation, Alterations',r(22 or Relocation: 200 amPs or less 201 amPs to 400 amps .- 401 amPs to 500-smPs 601 amPs to 1000 gnps.- Over 1000 amPs/voIts - Beconnect 0n1Y Address c ().la3 2 $ 8s.00 $ 15.00 $ 40.00 60. 100. 130. 300. 40. $ $ $ $ $ s 00 00 00 00 00 00 50. Constr Contr. Num!"r 'J O k9?Temnorary Services or Feeders -iir[lir"ii"", Alteration or Re]ocation Expiration Date 00 00 00 B"Signature of citv LqTz*-o Pnone b.tb-(.?3 4 supervlsor License Number 3 /?A - Expiration Da ," /'l/ t / o/ .c Branch Circuits Nev, Alteration or Extension Per Panel ta Each AdditionaL Circui t or r.'i th Service;;'i;;d"; Permi,---'-"i $ 2 'oo Z Hiscellaneous (Service/feeder not included) 200 amps''or less ;oi ;;; io +oo amPs -l Over 401 to 600 amps - Over 600 amps ot- 1000 volts -Each ins tallation Pumo or irrigation # iicirroutrine Lighting- t"iili ted EnergY/Res --Limited EnergY/Comn OITNER INSTALIATTON The installation ls being made.on DroDerty I oun I'hich is not intended kor'saIL, lease or rent' 0nners Signature: "t* $ 40. $ ss. $ 80. sge tlectrician IOr,lners Name D E *fYz cn-4Address 7/-6- a/6uCitPhone $ $ $ $ 40.00 40 .00 20.00 36.00 :f-::, 3 /1t:5v7 DATE: SUBTOTAL OF ABOVE 7% state Surcharge 3Z Admlntstrative Fee lOTAL '=, H rf, t* r'J 13m:E Hc]:I3 I> -as C].. z c) r.J LnCr5l . C]-tr(}'. m --l (f LnFJ r. C) l-I Fr RSCEIVED o z.o( t 5 1">3 7Lt.r /