HomeMy WebLinkAboutPermit 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
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