HomeMy WebLinkAboutPermit Mechanical 2000-6-21
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I Job# 00-00959-01 I
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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~
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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:' .
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Required Inspections
Electrical
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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.
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I Job# 00-00959-01 I
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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
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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
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.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
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"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
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Signature of SupejJ1sing Electrician
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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:
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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
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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
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