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Home My WebLink AboutPermit Mechanical 2001-06-21225 North Fifth Street Springfield, OR974T7 Location Of Proposed Site: 1654 OOO16th St AssessorsMap#: 17032531 Lot: Block: Owner: Jan Frank Address: 1654 16th St Scope Of Work: Mechanical Heat pump Job# 01-00637-01 RESIDENTIAL PERMIT City Of Springfietd Community Services Division Building Safety spr Addition: Job Number: 01-00637-01 Office:726-3T59 lnspection Line: 726-3769 Tax Lot#: 01200 Subdivision: Page 2of1 ni ri ! r,r L;'1t-ii\ir ilft,5iiilFr:,j SPRINGFTELD iiiiit'J$r: rj ilftit: Ju flHT iitlli; Phone Number: 541-689-1711 City/State/Zip: Springfietd,ORgT4Tl New Vatue: $o CITY OF SPRINGFIEL D, OREGON Contractor Type MechanicalContr Contractor Comfort Flow Heating 1951 Don Street, Springfield, ORgT4Tl Registration # 460 Expiration Date 611t2003 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 Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? -Prior to cover. -When all mechanicalwork is complete. ,x,iffi;;;ui:y' PERIOD. # Of Stories: Height (feet): Current Units: Proposed Units Census Gode: Does not apply Area (Sq. Main:Accessory:Total: Fee Job# 0 1-00637-01 Page 2 of 2 Paid On Receipt# Valueleuantity Fee Amount Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0612112001 06t2112001 06t2112001 06t2112001 06t2112001 5903 5903 5903 5903 5903 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 $26.s0Grand Total By sig nature, 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 allwork performed shaLll be done in accordance with the Ordi nances 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 be used on project. I further agree to ensure that all required inspections are requested at thb time that the project is readable from the street. Signature Date 1 approval. Zoning 225 FTEAE STREET DAIE SPRINGFIEI^D, OREG0N 9ihhilr?zed Signature INSPECTION REQLIESTt 726-3769 OFPICEz 726-3759 1.LOCA TION ONLdl/), I,EGAL DESCRIPTION '7 032 si/01 <> JOB Ci ty INSTALT-ATION COHPI,ETE FEE SCEEDIJLE BELOS New Residential-Single or MuIti-Family Per dvelling unit' Service Included: 'Ihe following proiect as submitted has the lollowing zonrng, and does not reguire specilic land use SPF i}FtELD ELEGTRICAI PERHIT APPLICATION City Job Numbe r o/ -6Cl6 s7-o I o 3 A Permits are non-transferable and expire ii rott is not started vithin 180 days ;i i;;u..ce or if vork is susPended for 1B0 days. 2. COMRACTOR INSTALLATION ONLY Erectrical contrac w k 5 Eb/lh o Address 6 Lq, Ci ty )vnone bk6,Az3L Supervi o r License Number 3 Y?z -s Expiration Date /d 6 Constr Contr. Nr:mler Expiration Date Signature of Su ising Electri clan Ovners Name Address /a {/ /)/cc Phone 7 /7'2l z,F I tems 1,000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular DvelIing SerVice or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amPs to 400 amPs --40L amPs to 600-amps 60L amPs to 1000 amPS- Over 1000 amPs/vol-ts Reconnect 0n1Y C TemporarY Services or Feeders inri.ttaiion, Alteration or Relocation 200 amps''or ]ess $ ,oi ;;;. to 4oo amps _-- t Over 401 to 600 amPs - U Over 600 amPs or 1000 volts se Cos t $ 8s.00 $ 1s.00 $ 40.00 $ so.oo $ 60.00 s100.00 s130.00 $300.00 $ 40.00 .00 .00 .00 il8il $ 2.00 Sum above 40 55 BO r€ The installation is be property I ovn vhich i for sa1e, lease or ren onners Signature: $ 40.00 no- S 40.@"6- i iq.@=E- c"l ", ** l- J l.--, r-{ ! r lil:, "" L:d:l -g]-----+rf-=-i.r. :tr! Ing m s not t. ade on in tended D Branch Circui ts New, Alteration or Extension Per Panel One Ci rcu i t Each Additional- Circuit or vith Service or Feeder Permi I I $ 3s.00 E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighti Limited EnergY/Res Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL 5 DATE: RECEIVED O6ZG O T C, cf..r-a +-" 0.9