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HomeMy WebLinkAboutPermit Mechanical 2000-4-2 . . Page 1 of 2 I Job# 00-00443-01 I ./~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00443-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 225 Main St Spr Assessors Map#: 17033532 Lot: Block: Addition: Tax Lot #: 05500 Subdivision: Owner: Seramed Bio Center' Phone Number: Address: 225 Main St City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Scope Of Work: Mechanical Contractor Type General Contr Contractor American Refrigeration 4065 W 11th, Eugene, OR 97404 Ericson Electric Inc Po Box 27, Junction City, OR 97448 Registration # Expiration Date Electrical Contr 95909 1/6/2001 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 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. Phone 541-998-5848 . I Job# 00-00443-01 I . Page 2 of 2 .' '/Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 04/20/2000 1315 04/20/2000 1315 04/20/2000 1315 , Value/Quantity I Fee Amount Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 9 $51.00 $3.57 $1.53 $56.1 0 Minimum Mechanical Permit Mechanical Administrative Fee Miscellaneous Mechanical Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 03/22/2000 1005 03/22/2000 1005 03/22/2000 1005 03/22/2000 1005 03/22/2000 1005 15 $.00 $.45 $15.00 $10.00 $1.05 $26.50 $82.60 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 lvO:~3IHSlj:J : 39NljH:J Ot"9S $ l:a:J3~ lWlj OOOl Ol ~dlj:31lja St~tOOO-tO:#SNlj~l ~pr-19-00 lZ:51P . ::... .,/, . P.OZ :::.---:::: 6\,\\\,\07. ,00" '\'8~~U\UO'1 ,Q~~.. 225 PIFTH STREET \,\ seo~ 6Il'I""",uu""", PKRKIT APPLICATION SPlUNGF'IELD, OREGON 97477 e"nlle' ~\,e\O'O INSPECTION REOUEST: 726-3769 \,\"\,,\\,eoe\\,~,,nss City Job NulDbem/OOLl1{~;O) OFFICE: 726-3759 asn ~ a"\ s"" ~ 6\,\,,,0110\ 3. COHPLETE FEE scHEDULE BELOV 1. LOCATION OP INSTAU..j'.TION . .~aJ:) nl.(lj{\ Qt-rF1T" . A. Ne... Residllntial-Single or Hulti-Family per dvelling unit. Service Included: LEGAL DESCRIPTION r nmfVL( n;' n3 JOJI.DESCRIPTION a..rY\. (v-\ f' 'I ("'f' ,U ; +<-. J Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if,...ork is susrended for 180 days. 2, CONTRACTOR INSTALLATION ONLY B. Electrical contractorfu(~1/\ ~)V\C. Address _170 'ht!-x ;;) '7 CityJUYY f1 en- r,.j,~ Phone..19~-5gL/1 Supervisnr License Number 3CJ J '1 ~') 10 I, 10/ Cons tr Con tr. Numb.", ~ t)'q oq 11wlo/ Expiration Date expiration Date Signature of Supervising Electrician 52; ~,.,>/~.-___-:::---" "1'1'275 ;- , Ovners Name sPX!)M/~ ~\O (\p~ AddresS d~':) .m(L~{\ ,cj-. City ~'\I'\~~pJ6Phone DIINER TNSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease nr rent. Owners Signature: -----------------------~-------------- DATE: RECBIPT .; dCEIVED BY: 1000 sq.ft. or less Each additional -500 sq. ft or portion thereof Each Hanuf'd Home or Hodular'DvQlling Service or Feeder 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 amrs/volts Reconnect Only ItelllS Cost Sum S 85.00 S 15.00 $ 40.00 S 50.00 S 60.00 $100.00 $130.00 5300.00 S 40.00 c. Temporary S~rvices or Feeders Installation, Alteration or Relocation New, Alteration or Extension Per Panel One Circuit I S 35.00 't3~ Each Additional Ci <'Cui I or wi thSerdCJt.. ~ ../ I; AOO or Feeder Permit ~,~ S 2.0U ~ f~ .- ~ - , Hiscellaneous (Service/feeder not included) -Each ins talla t ion .Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energ~/Comm 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Ovor 600 amps or 1000 volts D. Bran"h Circuits E. 5. SUDTOTA~ OF ABOVE n, Sta t8 Surcharge 3% Administrative Fee TOTAL $ 40.00 S 55.00 $ 80.00 see "B" above .. $ $ $ $ '51- Go-,. I U c.....:, 40.00 40.00 20.00 36.00 r::xn., (./