HomeMy WebLinkAboutPermit Plumbing 2000-2-29
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I Job# 00-00223-01 I
Page 1 of2
TRANSfi:Ol-0000767
DATE:FEB 29 2000
AMT RECD:2 $ 39.60
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00223-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 303 Main St Spr
Assessors Map#: 17033531
Lot: Block: Addition:
Tax LoU: 12800
Subdivision:
Owner:
Address:
Jim Haines
303 Main Street
Phone Number: 541- -
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Backflow Device
Backflow
Plumbing Contr
Contractor
Sonitrol Security
P.O. Box 21009, Eugene, OR
Barnes High Tech Plumbing Inc 83311
2787 Olympic St Ste 27, Springfield, OR
97477
Registration # Expiration Date
Phone
541-461-5678
Contractor Type
Electrical Contr
2/17102
541-726-9854
Quad Area: 1CSWD
# 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
Low Voltage
Backflow Device
I Plumbing I
-After device is installed but before backfilling trench.
*
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Backflow Prevention Device
Plumbing Administrative Fee
Total Plumbing
Grand Total
By signing this permiUapplication, I agree to call for an inspection once the backflow prevention device
has been installed and is visible for inspection (726-3769). I also state that all information on this
permit application is tru and correct.
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Construction Types:
Oceiipancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
Fee
Reconnect Only
Restricted Energy
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Signature
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I Job# 00-00223-01 I
Page 2 of 2
# Of Stories:
Current Units: '
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
I Electrical
02/29/2000 767
02/29/2000 767
02/29/2000 767
02/29/2000 767
Value/Quantity
Fee Amount
1
$.00
$36.00
$2.52
$1.08
$39.60
Plumbing
02/08/2000 508
02/08/2000 508
02/08/2000 508
02/08/2000 508
1
$5.00
$1.05
$10.00
$.45
$16.50
$56.10
Date
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225 FIITH STREET .0C\....~~C\\\C
SPRINGFIELD, OREGON 9747\~~~o~..~~
INSPECTION REQUEST: ~~~
OFFICE: 726-3759 '\"~,,\~~.~. .~Q, 'L"
1.0 ~o~ "'O~.... , r;,
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1. LOCATION OF INSTArLATION ,.;<0
30:3md,'n .:;.1, ,~ . S\Q,~" A.
\)-' 0",\'1-'64
I '11hAJ;D~~f',I~N \ 'L~('()
ELECTRICAL PERMIT APPLICATION
City Job Number 00 lfJ'lZ30)
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor.Sonitrol Sp.curity or Relocation:
$ 50.00
S 60.00
$100.00
$130.00
S300.00
S 40.00
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
Address P.O. Box 21009
City Euuene Phone 461-5678
Supervisor License Number IfoJl9 RET
Expil'ation Date //)-1-99
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
S 40.00
$ 55.00
S 80.00
see "Btt above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
6-28-00
Expiration Date
Signature of su~r~ng Electrician
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Owners Name \.0m'S lafJd/?] U/J.dyJ/ains)
Address 303 mar' n s.{
Ci ty Sprin3 ti~ Id Phone 72.0 - 7-=i 76
OVNER INSTALLATION
Branch Circuits
New, Alteration or Extension Per Panel
S 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Eneigy/Comm --L-- $ 36.00 ~
5. SUBTOTAL OF ABOVE ,S0 O'b
1'$% State Surcharge ;;l. 5;;2.
3% Administrative Fee 10'&
TOTAL ~q. faD
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT 11:
RECEIVED BY: