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HomeMy WebLinkAboutPermit Mechanical 2000-6-21 . , . I Job# 00-00959-01 I . Page 1 of 2 TRANS#:01-0002265 DATE:JUN 21 2000 AMT RECD:2 $ 38.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00959-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 635 Nicholas Dr Spr Assessors Map#: 17032212 Lot: Block: Addition: Tax Lot#: 01311 Subdivision: Owner: Rob and Stephanie White 635 Nicholas Phone Number: 541-736-1856 City/StatelZip: Springfield, OR Alteration Value: $0 Address: Scope Of Work: Mechanical Contractor Type Electrical Contr Contractor Ks Electric & Consultants lnc Po Box 24933, Eugene, OR 97402-0444 Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # Expiration Date 70889 12/30/2000 Phone 541-686-6236 Mechanical Contr 460 6/27/2001 541-726-0100 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: , ,_" Heilt S,ource,: , _,:UII"_ ,/ul,;., 101101" ,O"t,l:!q.:F.o.otage: ,iI:'; Or;,non Utilit~ "\" " To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00, ' a.m. will be made the same working day, inspections requested after 7:00Ja.m.'will be made' the following " working day. Cc:' . 'lIml)~ '~H d1. < ~ ,'~wlll:i h'.l,lo:;nc&tior ,-,'...UV '::s b ,_.1.....;3 Required Inspections Electrical . ',",' .~" '. Rough Electrical Final Electrical - Prior to cover. - When all electrical work is complete. Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete, NOTICE: THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NO"! COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . . I Job# 00-00959-01 I . Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 06/21/2000 2265 06/21/2000 2265 06/21/2000 2265 Value/Quantity I Fee Amount Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 1 $35.00 $2.45 $1.05 $38.50 Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total Mechanical 06/19/2000 2212 06/19/2000 2212 06/19/2000 2212 06/19/2000 2212 06/19/2000 2212 1 $9.00 $.45 $6,00 $10.00 $1.05 $26.50 $65.00 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 Date , . " . 5 .ttedhaSlhelollowlng DATE:JUN 21 2000 , cl as subml , d use AMT RECD _:" lo!lowlng prole \ require specillC an : 2 $ 38.50 d does nO CH . .;,,,,g, an ANGE: "w,ova! ' ! ':~ f,;?' - - CASHIER: 061 225 FIITH STREET zoning -10 cj;\{i c..(, J ,- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9}~7J. ~/,J _ ~ I INSPECTION REQUEST: 726,",~6fS1gna\Ure-' City Job NumberOO--oO 15'7-0 OFFICE: 726-3759 .,JI""'" , 1. LOCATION OF I.ll~~ALY.TION b35 /UI-dlrlut1 <;- 'btL LEGAL DESCRIPTION JOB D,ESCRIPTI~ ,hY A4-T /' U /1t--7 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~ $ t21'~~c' , I ') ~ ,. (-";-0- j> "?C '2 V9 3...$ Address 10 J '_-- '.' ...'L~ LJiI'h, , Ci ty ,g 6 LA') Phone....k <f f"-/(,cy Supervisor License Number ~ </'175 Expiration Date 1u,1//oo Cons tr Con tr. Number 7 b %%9 Expiration Date_ loL/ 30/ /, 0 / / Signature of SupejJ1sing Electrician . cr ~ v-/ JJdvv ' Ovners Name S'k_;/1/J /1,-" L,)J?, Iv Address ~ 35 I'dz aL-41 S City ::;6/"'" Phone 73(, -/-r.5h OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dvelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to'1000 amps----- Over 1000 amps/volts Reconnect Only Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Ci rcuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Extension Per Panel J 9 New, Alteration or One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL ""t. ~~-o .-