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HomeMy WebLinkAboutPermit Mechanical 2000-6-23 , " ., I Job# 00-00890-01 I Page 1 of 2 TRANS#:01-0002295 DATE:JUN 23 2000 AMT RECD:l $ 40.00 CHANGE:$ 1.50 CASHIER:061 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00890-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 541 W Centennial Blvd Spr Assessors Map#: 17032743 lot: Block: Addition: Tax lot #: 05805 Subdivision: Owner: Address: Hawaiian Time Phone tIIumber: City/State/Zip: Springfield, OR 97477 Alteration Value: $0 541 W Centennial Blvd Scope Of Work: Mech~nical Contractor Type Electrical Contr Contractor Philips Electric Inc 1298 Bethel Dr, Eugene, OR 97402-2003 Home Comfort Heating & Air Condit* Po Box 24205, Eugene, OR 97402 Registration # 54438 Expiration Date 9/19/2001 Phone 541-688-6121 Mechanical Contr 84164 6/25/2001 541-345-2838 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: . ., ,Sq. Footage: ,....;.;: I ~""t'\..: ; :t ,;\. ~ ;~ ;--~. .'j..... .:..;.... :"r':';'.'1. ur_Ckr.~ 'l.1nll 't. , follow rules ~0.r.\Ot;;cl b" tho Oregon Utilit', To request an inspection call the 24 hour recording at 726-3769, All inspec:tion~ ~~g!JesteajD~f6re ~;oqJ I tf J ~ a,m. will be made the same working day, inspections requested after 7:00 ~~9()nll.~Wlltrb~h5a~~~dJml,~tv.iH;OS !3~eQse. o~ working day..' I"\Hl::!b~-UUI-vUI~HdlO~g\1 Anv52-00i- v090. You may obtam copies of the rules by ,_II:.. , ...~ .. _._" ,;;.:, 0' ,: , V,"",I II I '0 U I~ ...,r,.,t 110.,",". ,~'UV,"V. LlI\;;; 1.\# IV,..,' IV. .e; number for the Oregon Utility Notification r ~.~. ....., - . ,",r'r' ,,,.,,.. "1"'44) .... ,-..... .".. ;-. ~.. '. ~.,,:'.. ::.' "': . Required Inspections Electrical Rough Electrical Final Electrical - Prior to cover. - When all electrical work is complete. Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical - Prior to cover. -After line is installed and line has been connecl~d..t.Q.a minimum of one appliance, Pressure te! -When all gas work is complete, NOTICE: - When all mechanical work is complete. THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I Job# 00-00890-01 I Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 06/23/2000 2295 06/23/2000 2295 06/23/2000 2295 Value/Quantity Fee Amount Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administr~tive Fee Total Electrical 1 $35.00 $2.45 $1,05 $38.50 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee More than 100,000 BTU, Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 06/07/2000 2057 06/07/2000 2057 06/07/2000 2057 06/07/2000 2057 06/07/2000 2057 06/07/2000 2057 06/07/2000 2057 1 $4.50 $2,00 $1.00 $.45 $7,50 $10.00 $1,05 $26.50 $65.00 1 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 l 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATl-ONAJF IliSTALLAl'IOr 54 I fA) LLPYI i-f7n n ( t1 , ,r~ . . " TRANS1t= 01-0002295 DA TE:.JUN 23 2000 A~T RECD:1 $ 40.00 CHANGE: $ L 50 ELECTRICAL PERMIT APPLICATION CASHIER:061 City Job Number oO-C>08,QO-01 3. COMPLETE FEE SCHEDULE BELOY A. New.Residential-Single or . Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION JOB DES~PTION n pj "rJ) if +oy ~ xhlJ..vtst ~n Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philips Electric. Inc. Address 1298 Rptnp1 Drivp Ci ty Eueene Phone(S41) hR8-hl?1 Supervisor License Number -2719R Expiration Date 10101/01 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling' Service or Feeder ,B. Services or Feeders Installatiori, Alterations o.r Relocation: Items Cost Sum' 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 $ 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 Constr Contr. Number 20-179c Expiration Date 10101/00 s~~ature, Of, ~uperv~::iPS D. Owners Nffme 'm{,tvtl'tlAV\.lIMe., Address54-1 Wes+ ~Y\-l-er\ n l'a, \ Ci ty ;;d,on' ~ Phone7L/- / -003 b OVNER IN~TALLATION ' The installation. is being made on . E. property I own whi~h is not intended for sale, lease or rent. owners Signature: --------------------------------------- DATE: RECEIPT 1j:: RECEIVED BY: 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above ,. New, Alteration or Extension Per Panel $ 35.00 3..["00 One Circuit. J Each Additional Circuit or with Service or Feeder Permit $ 2.00 not included) Miscellaneous (Service/feeder -Each installation ,Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Corom 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 -$ 40.00 $ 20.00 '$ 36.00 ') 3,~ u I ~i t~U