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HomeMy WebLinkAboutPermit Building 2000-3-16 ,. . . I Job# 99-01428-01 I . Page 1 of 2 TRANS#:01-0000958 DATE:MAR 16 2000 AMT RECD:2 $ 40.70 CHANGE: CASHIER: 032 ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01428,01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4400 Franklin Blvd Spr Assessors Map#: 17033444 Lot: Block: Addition: Tax Lot #: 00800 Subdivision: Owner: U-Haul Of S, Oregon 4400 Franklin Blvd Phone Number: 541-726-6051 Eugene, OR 97403 Value: $0 Scope Of Work: Office U-Haul Office Furnace, Electrical Service & Circuits City/State/Zip: Remodel Address: Contractor Type Contractor Registration # Expiration Date Phone Electrical Contr Builders Electric Inc 4296 12/10/1999 541-485-0922 195 Madison St, Eugene, OR 97402-5030 Electrical Contr New Way Electric Inc 51088 6/27/1999 541-686-2365 Po Box 21503, Eugene, OR 97402-0409 Mechanical Contr Harvey & Price Co 77 10/31/2000 541-746-1621 Po Box 1910, Eugene, OR 97440-1910 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 I -Tra-nsfered Records --I Rough Mechanical Final Mechanical - Prior to cover, -When all mechanical work is complete, Electrical Rough Electrical Electrical Service Final Electrical - Prior to cover, - Must be approved to obtain permanent power. -When all electrical work is complete, . i . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Area (Sq. Feet) I Main: Accessory: Fee Plan Check Fee Electrical Permit Mechanical Permit Mechanical Issuance Total Transfered Records Permanent: 200 Amps or Less Branch Circuits W/O Feeder or Service Branch Circuits With Feeder or Service State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical Grand Total I Job# 99-01428-01 I # Of Stories: Current Units: Census Code: Does not apply Total: Paid On Receipt# Transfered Records 10/20/1999 35942 10/20/1999 35942 10/20/1999 35942 10/20/1999 35942 Electrical 12/02/1999 36322 03/16/2000 958 12/02/1999 36322 12/02/1999 36322 03/16/2000 958 12/02/1999 36322 03/16/2000 958 . Height (feet): Proposed Units: Page 2 of2 Value/Quantity Fee Amount 6 58 15 10 $6,25 $58,00 $15,00 $10,00 $89.25 1 2 4 $50,00 $37,00"- $8,00 $4,06 $2,59 $1,74 $1,11 $104.50 $193.75 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, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, // ~/~/ Signatb/ ~ 3/1~11O Date ;. . .NGFIELD The following project as submitted has t zoning, and does not-require specific I approval., L.. H I Zomng "3-Ifo-M) , Date ct.vJ ",...""uu."aL PERMIT APPLICATION Authorized Signature qc: _ /' f..... /, _,' ~ / Ci ty Job Number -/ .., d 1> v 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LO,CATION QX INSTALJ.oA~ION . /1 , t.J 1./0 () ,-tl1d .H Ifl/Nt) '( '..U ,orl...' A. LEGAL DESCRIPTION /703?)(.fLfL(- Doyov a rid D~PT~h'? 4 A (I; ~/.I J; tJ Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contr~cto/!J!,(-lJ lAlu/lb;lj Address y2 () tl~ ./ r:2 /..s'-ZJ.3 , City /h~&J/}(L Phone ;.;;R&;023.?J , t! Supervisor License Number ~~rJAP~ -:l Expiration Date Constr Contr. Number S//) j? cP Expiration Date Signature of Supervising Electrician Ovners Name ./i - xtJ .I j L Address-i:l:il12/J \. +/l/2-(jd./A) LJM City ~ ~~~- Phone ' O~ ~STALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE:. ::j-/f,- rm RECEIPT 11: Oc:;q, RECEIVED BY: J<vJ 3. COHPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof ' Each Hanuf'd Home, or Modular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 lOOO amps/volts Reconnect Only $ 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 $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits '( Nev, Alteration or Extension Per Panel One Circuit / $ 35.00 3s {)O Each Additional Circuit or vith Service 00 or Feeder Permit / $ 2.00 do E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 37- () {I 7% State Surcharge 0/.-\ 1 37. Administrative Fee j, I TOTAL t-RJ ./ rj F