HomeMy WebLinkAboutPermit Mechanical 2000-6-7
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I Job# 00-00886-01 I
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page,1 of 2
TRANS#:01-0002055
DATE:JUN 07 2000
AMT RECD:2 $ 45.10
CHANGE:
CASHIER: 061
SPRINQFlELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00886-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1020 Janus St Spr
Assessors Map#: 17033421
Lot: Block: Addition:
Tax Lot #: 00200
Subdivision:
Owner:
Ad'dress:
Free Methodist Church
1020 Janus Street
Ph,one Number: 541-726-9050
Scope Of Work: Mechanical
City/State/Zip:
New
Springfield, OR 97477
Value: $0
Contractor Type
Electrical Contr
Contractor
Jb Electric Inc
4065 West 11th Avenue, #lB, Eugene,
OR 97402
Home Comfort Heating & Air Condit'
706 Oscar St, Eugene, OR
Registration #
104929
Expiration Date
3/14/2000
Phone
541-687-5770
Mechanical Contr
84164
1/27/2000
345-283-8
Office Use
# Of Buildings:
Occupancy Group:
.-~I I t..1\i. ;vfteat'Source: 'C:I..IUIl~~ fiJ..; l "
}O!fIOWtrUle~sa?Fb"Ota'gJ~e Oregon Utilitl-
'loti Ir.R Inn l .A,.PAt "I hr...::c:. nlloc ,.Ii''-'' ~.o.t fnr9h
'j OAR ~52-(0)-(lll1(i ii, '01'0.:) nll,''1 "'52 001
To request an inspection call the 24 hour recording at 726-3769. All i~~p~Sti9()~ (~,gy,t(~,\Ef~ilb~f,~r~;;t9,Q t~ ~ 1- b-
a,m. will be made the same working day, inspections requested after 7:00.a:,m, wilLee made/IUie'followinge rhu es y
working day, ..a",,;", '"~ "'<:lllltH. \ ~O!(;;:mele,,;p one
number 10rtheOregon Utility Notification
Required Inspections ~h'" ' . -.... --.. -", :..:;.
Electrical
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
Mechanical
I
NOTICE:
, THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THISPERMfT IS NOT'
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Rough Mechanical
Final Mechanical
-Prior to cover,
-When all mechanical work is complete,
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Job# 00-00886.Q1
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Page 2 of2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
I Electrical
06/07/2000 2055
06/07/2000 2055
06/07/2000 2055
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
4
$41.00
$2,87
$1.23
$45.10
Minimum Mechanical Permit
Mechanical Administrative Fee
Equipment Not Itemized on Permit
Miscellaneous Mechanical
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
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 TIe and that the project address is readable from the street.
t~~r3~' 0:: 1-06
Mechanical
06/06/2000 0000
06/06/2000 0000
06/06/2000 0000
06/06/2000 0000
06/06/2000 0000
06/06/2000 0000
15
$.00
$.45
$,00
$15.00
$10,00
$1.05
$26.50
$71.60
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>-Z25~IFl'H STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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LOCATION OF INSTALLATION ~~~o$'~'\
UL2/i -_l.aJa-u <; -A- .
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JOB DESCRIPTION
JJ 1/ A- ,.....
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days, OI/3'og
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor-=:rrs. flrc-4-r-:r.I'Yf('.
Address Lt 0 {...e:; LJ, } I:fl,.. #- / X '.
Ci ty f.n Phone b {(7r;'77(5
.
Supel'visor License Number ~ ~~ S
Expiration Date 1~Y-;; I '
Constr Contr. Number 11l4c;"d-q
EXPirat~o Date Y'I~t.-{'
Signatur 'f fupe(vt;~E1ectrician
Lvlt {J,v<,/' --
( I ,D.
Owners Na~ ~." (' A1-r;.,J.,{-J.'<t' /'1. vrcf,..
Address
City Phone 7Jb(jO<;O
mINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
l\I;vr.J.PT ~:
RECEIVED BY:
'ELECTRICAL PERMIT APPLICATION
City Job Number C:>C -00 ~'Cb -0 \
3,
COMPLETE FEE SCHEDULE BELOV
A,
New Residential-Single or
Multi-Family ,per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 4'0.00
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 1000 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
"
New, Alteration or Extension Per Panel
One ~Ci rcui t .i $ 35.00 ?5-
Each Additional
C~tcuit or with Service L-
or Feeder Permit ~ $ 2.00
E.
I -
Mis6ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
"1% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36,00
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