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Home My WebLink AboutPermit Building 2001-12-17SPRINGFIELD Job# 01-01390-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 01 -01 390-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03100 Subdivision: h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 158 00017th St 4 Spr AssessorsMap#: 17033631 Lot: Block: Addition: clTY oF SPRTNGFIELD, OREGOTV Owner: Chase lnvestments Address: 969 McKenzie Crest Dr Scope Of Work: Fire Damage Fire damage Contractor TYPe GeneralContr Electrical Contr MechanicalContr Plumbing Contr 97402-2536 Don Merrick x, Eugene, OR Quad Area: # Of Units: Gonstr. TYPe: Water Heater: 0571 59 Office Use --- Land Use: Zoning Code: Bedrooms: Range: 1211712001 # Of Buildings: OccupancY GrouP: Heat Source: Sq. Phone Number: City/State/Zip: Repair 541-747-0451 Springfield, OR97477 Value: $28'000 Phone 541 -689-61 77 541-747-2724 541 -689-61 77 FOR To request an insPection call the 24 hour recording at 726-3769. a.m. will be made the same working daY, insPections requested after working daY Building Fire Damage Electrical Fire Damage l Rough Plumbing -Prior to cover Plum NN{ UI FI ?4 Job#01 -01390-0 1 Required lnspections Page 2 of 2 PIFinal Plumbing -When all plumbing work is complete. Mechanical IRough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: -Prior to cover, -When all mechanicalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Gensus Code: Does not apply Accessory Total: Fee Paid On Receipt# Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 12t17t2001 1211712001 12t17t2001 7542 7542 7542 28,000 $241.95 $16.94 $19.36 $278.25 Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 12t17t2001 1211712001 12t17t2001 12t1712001 7542 7542 7542 7542 2 $.00 $46.00 $3.22 $3.68 $52.90 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 12t1712001 12t1712001 12t17t2001 1211712001 7542 7542 7542 7542 3 $3.00 $42.00 $3.15 $3.60 $51.75 Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical ApplianceVent (Not Covered in Schedult Mechanical lssuance State Surcharge - Mechanical Total Mechanical 12t17t2001 1211712001 12t17t2001 1211 t2001 t2001 7542 7542 7542 7542 7542 2 $27.00 $3.60 $18.00 $10.00 $3.15 $61.75 Grand Total By signature, I state and I have carefully examined the completed application and do hereby certify that all herein is true and correct, and I further certify that any and all work performed shall be done nce 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, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. $444.65 I 225 FIFTH STREET SPzuNGFIELD, OREGON 97477 INSPECTION "726-3 "769 OFFICE: 726 ELT,CTRICAL PERMIT APPLICATION : . CityJoh Numtcr A- O / 3 7O 'O / COMPLETE FEE SCI-IEDLTI-E BELOW Nerv Residcntial-Singlc or Multi-Frrrnily per dl'elling unit. Service Includetl: Itcms Cost Sum 3. A. LOCATION OF INS t f 8 t7+^ TALLATION ,ehE LEGAL DESCRIPTION JOB N Pernrits are non-transferable and expire if u ork is not started rvithin 1 80 days of issr.rance or if rvork is suspended for I tl0 days. Citl,.-, of [.[ Phone Srrpen'isor License Number Expiration Date Signature of Super-lising Electt'ician ame 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Drvelling Service or Feeder _ $1o6.oo $ r9.00 $ 50.00 $ 63.00 _ $ 75.00 _ $125.00 _ _- $ 163.00 _ $375.00 0.00 _ .00 .00 $43.00 tl7 o 2 CONTRACTOR INSTALLATION ONLY B' Ser-vices or Fecdcr.s Electrical Contractor r( Ad Over 6 D.B "B " abor,e lirnch Circuits Nov Alteration One Circuit Extension Per E Illinimum Electric Permit Inspection 1. SUBTOTALOFABOVE '7Yo Stfie Surchlrge 8% Administrative Fee Each Additional Circuit or tr itll SewiT -z N{ iscellaneous (S ervice/feeder n ot i n clu tletl) -Each installation Pump or irrigation $50.00 - Sisn/Outline Lighting - S50 00 --Limited Energy,Res - 525.00 --Lirnited Energy/Cornm - $-t5 00 =-_ Fee is 5{5.00 + Surchargcs/L/6 q6 Ad ={t''>- bc/5 tCitl' Ol'ners Signature. OWNBR INSTALLATION The installation is being niade on propefi I olvn rvirich is not intended for sale, lease or rent. TOTAL 5z Erpiration nate l(\ 'O I -0t{ Constr Contr 200 amps or less 201 arups to 400 amps 40 i anrps to 600 amps 601 anrps to 1000 antps Over 1000 amps/r,olts Reconnect Only C. Temporary Services or Feeders Institllation, Alteration or Relocation