HomeMy WebLinkAboutPermit Mechanical 2000-4-2
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I Job# 00-00443-01 I
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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
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I Job# 00-00443-01 I
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'/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
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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 ; +<-.
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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
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