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HomeMy WebLinkAboutPermit Electrical 2001-6-12 (2) ~ , , . I Job# 01-00597-01 I . Page 1 of2 .~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00597-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 702 A St Spr Assessors Map#: 17033542 Lot: Block: Addition: Tax Lot #: 02200 Subdivision: Owner: Address: Springfield Buick 702 A Street Phone Number: 541-747-3305 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical Contractor Type Electrical Contr Contractor Jb Electric Inc 4065 W 11Th #18, Eugene, OR 97402 Mechanical Contr Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # 104929 Expiration Date 3/14/2004 Phone 541-687-5770 541-747-7445 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 at 726-3769. 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 Inspections Electrical I 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. r ; . I Job# 01-00597-01 I . Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ["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 06/12/2001 5796 06/12/2001 5796 06/12/2001 5796 Value/Quantity Fee Amount Branch Circuits W/O Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 1 $35.00 $2.45 $1.05 $38.50 Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Mechanical 06/12/2001 5780 06/12/2001 5780 06/12/2001 5780 06/12/2001 5780 06/12/2001 5780 1 $9.00 $.45 $6.00 $10,00 $1.05 $26.50 $65.00 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 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