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Home My WebLink AboutPermit Mechanical 2001-05-24SP!IINGFIELD Job# 01-00531-01 PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 iii1tr Tln Tr, Mn\rUnlL!llrll AMT BTFN.1 -tri ttt trtrr r IHf,NGI; nn-It LNUI I 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 201 S 0001Bth St Spr AssessorsMap#: 17033600 Lot: Block: Addition Job Number: 01-00531-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 00500 Subdivision: ctrY oF SPRTNGFIELD, OREGOI' Owner: Springfield School District Address: 525 MillStreet Scope Of Work: Mechanical heat pump Phone Number: City/State/Zip: New Contractor Type ElectricalContr MechanicalContr Contractor Jb Electric lnc 4065 W 11Th #18, Eugene, OR 97402 AUTOMATIC HEAT CO. 3675 FRANKLIN BLVD., EUGENE, OR 97403 Registration # 104929 Expiration Date 311412004 Phone 541-687-5770 541-726-7654000043910t2t2001 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Asmb w/o stage 3 . Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. 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 !nspections Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanicalwork is complete. Construction Types(VN) Wood Frame Occupancy Groups:Asmb w/o stage 300- General Business Storage # Of Buildings: # Of Stories: Height (feet): # Of Bedrooms: Current Units: Proposed Units: Handicap Access? [ Census Code: Does not apply Area (Sq. Main: 344) Accessory:Total: 541-744-6375 Springfield, OR97477 Value: $O I rTTEN-l-lO Job# 01-00531-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0512412001 0512412001 0512412001 0512412001 05t2412001 5506 5506 5506 5506 5506 1 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 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 e pro ti d address is readable from the street. Signature Date $26.50 ,(-^4-o ( CITY OF OREGO'V 225 FIFTE STREET SPRINGFIELD' OREGON 974tr*te 1. LOCATION OF INST TI DESCRIPTION3 ,2G ri()6o<5o JOB DESCRI Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAI.I,ATION ONIY H Ci ty Job Nunber 3. COUPLETE PEE SCEEDIILE BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems SP' GFIELE, 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Sertice or Feeder Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs _ 401 amps to 600 amPs _ 601 amps to 1-000 amps_ Over 1000 amps/vo1ts Reconnect Only -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL The lollowrng proiect as submltted has the followlng zoning and does not require spectttc land use approval ?lzon,ns 'b -L-CTRICAL PERHIT APPLICATIoN 0l/DD52)-6)-tv-o I lHIEST,o)'::3ffi': 726o-376%o s'g"u"'o 4 Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum B T c- A Addr 6 Phone qb ?a61 Supervisor License Number / ,*s Expiration Date tD lol Constr Contr. Number lD 1?t2 a Expiration Date Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps _ Over 40L to 600 amps Over 600 amps or 1000-troEs Nev, Alteration or Extension Per Panel one circuit 4 s 3s.oo L Each Additional Circuit or vith Service / ;or Feeder permil ,V $ 2.00 J Miscellaneous (Service/feeder not included) --"{E:'.=li- :l::, :l:^-rt- $ s0.00 s 60.00 $100.00 s130.00 $300.00 $ 40.00 $ s $ s c D 40.00 s5.00 80.00Signature 0-1,-.- of Supervising Electrician ee rrBrr a6ove{*J*/ Ovners Name 0 5 \ 57YffiAddress cir OVNER ALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. 0nners Signature: DATE '7{ e E $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 fi tror.J Er. CJ$]. O(}rrlH (} l-r rr r,:)tJ LN4+ ()u F*,r rf {4 Fr (} RBCETVED .o/ Electrical Con city 2t^q4-\€_