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Home My WebLink AboutBuilding Mechanical 1999-04-29SPTINGFIELEl a COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DTVISION BUILDING SAFETY a Page 1 ilob Number: 990424 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work: l-l-3L SHELLEY ST. Assessors tutap #: l.70327OO Office: Inspection Line: 726 -37 59 1 26 -37 69 Tax Lot #: 00901 Owner: US WEST WIRELESS SER AddrCSS: 3O1O WILLAKENZIE RD Description Of Work Phone #: (205) 549-8313 City/State/Zl-p: EUGENE, OR 97401 ADDITTON Value 25, 000.00 -- OFFICE USE -- FLOOD PLAfN: N Item COMMUNICATION EQU]P TOTAL VATUE OF PRO,IECT Square Feet x $/Square Feet Value 25, 000.00 25, 000 . 00 ATTEN BUILDING Surcharge/admin MECHANICAL Surcharge/admin PLUMBING Surcharge/admin SUBTOTAL PERMITS TOTAL PERMIT FEES EXCI,UDING ELECTRICAL 70.50 13.65 0.00 0.00 0.00 0.00 184.15 184 . L5 --- REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, caLL 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Reguests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m will be made the following work day. Special InspecLions: In accordance wj-th Section 305 of Ehe SLaLe Specialty Code a special inspector shal1 be employed by the Owner/Contractor during construction of any following'"*" work. A copy of the special testing reports shall be furnished to Building Safety. In addition to the inspections specified, the Building Official may make or require other inspecti-ons of any construction work to ensure compliance with the Bui-1ding, City or Development Code. FOOTING - After trenches are excavated. I,NDERGROI,ND ELECTRICAI. _ PTiOT TO COVET. ELECTRICAL SERVICE - Must be approved to obtain permanent power SP;INGFTELt, rfob Number: 990424 o o Page 2 FINAL ELECTRICAL - When al-l electricaf work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAL COMMENTS --- Plans Reviewed By: LORNE PLEGER Buildi-ng Site Reviewed By: Date: 04/23/99 By signature, I state and agree, that f have carefully examined the completed application and do hereby certify that al-l- informat.ion hereon i-s true and correct, and f further certify that any and al-1 work performed sha1l be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Diwision, Building Safety. I further certify t.haL only contractors and employees who are in compliance with ORS 701.055 will- be used on this project. I further agree to ensure that al-l required inspections are requested at the proper time, that project address j-s readable from the street, that the p ermit card is l-ocated at the fronL of the properLy, and the approved set of plan 111- remain the si at all times during construction 4#-ry gna Date --- VAI.IDATTON --- 9 721 f1 Receipt Number: Date Paid: Amount Received Received By 2 1. 1 GF SFR OBEGO'U approval Date Zoning o 5PFl!HGFIELD 1000 ft. or less Each itional 500 sq.ft or portion ? tS t Cos t s 8s.00 $ 1s.00 $ 40.00 10ns 2 $ s0.00 $ 50.00 $100. oo s130.00 s300.00 Q? l(i JOB DESCRTPTION New.Commu,n'iciti0n Fqrrif'ment . Expira.tion Date 10-01-01 Constt Contr. Num ber 787 13 TemporarY Services or Feeders Installaiion, Alteration or Relocat s $ 40.00 amDs - $ 55.00 amos - $ 80.00 r rboOTT[s see rtB" 200 amps"or 1 201 amps to 4 Over 401 to 6 Over 600 amPs D. Branch Circui Nev, Alteration or Extension Per Panel One Circuit Each AdditionalCircuit or vith Service or Peeder Permi t 5- $ 3s.00 $ 2.00 t0 . 00 E. Miscellaneous (Service/feeder not included) sq. add Sum 100.0 0 Expira.tion Date 2 -24 -001 ES 00 00 s 40.00 00 00 00 00 110.00 ion aE6v6-Signalure of 1S ilners Name /",l ician {- Addres s Ci ty Phone e7r i t/ a L OII{ER INSTALI,ATION The ir'stallation 1s being made on piop"t ty I ovn vhich is not intended ior se.Ie, Lease or rent ' 0mers; Signature: -Each installation Purnp or irrigation Sign/Outline Lighting- Limited EnergY/Res - Limited EnergY/Comm s40 $40 $20 $36 "t 5. SUBTOTAL OF ABOVE 7 "b% State Surcharge 3X Administrative Fee TOTAL --He--7DATE: RECEI\E,D (-rzr:T0-- Perm its ire non-trans ferable and exPire if work is not of issuance or 180 daYs. 2. CC,NTRACf,OR Electr ical Con started vi lf vrork is tractor At I 009@.yoE Addres ci Tualatin Phone 503=697-2222 Supervisor License Number 2021s 401 amps 501 amps 0ver 1000 Reconnec t to 400 amps _to.600 amps - to 1000 amps- amps/volts - 0n1y s ,\