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HomeMy WebLinkAboutPermit Plumbing 2000-2-29 (2) ~ . .- " -' 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 SonitroJ 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. v " ~ 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 y-- / . . 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 . . ; .i' \~ 0 Y!o"" \,,~ 225 FIITH STREET .0C\....~~C\\\C SPRINGFIELD, OREGON 9747\~~~o~..~~ INSPECTION REQUEST: ~~~ OFFICE: 726-3759 '\"~,,\~~'~, .~Q, 'L" 1.0 ~o~ "'O~.... , r;, ~9 .. ~ 1. LOCATION OF INSTArLATION ,.;<0 30:3md,'n 9. .~ . 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 ( l~ - ..' -- - . ~ns.:f:a./I, Sf'WT/t.::; ".. r 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 ~~~. , '. . D. Owners Name \,0m'S lafJd/?] U/J.dyJ/ains) Address 303 mo; n s..t. Ci ty Sprin3 h'~ Id Phone 720 - 7., 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: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: