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Home My WebLink AboutPermit Building 2000-07-24SPRINGFIELD Job#99-01492-02 PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 99-01492-02 225 No(h Fifth Street Springfield, OR97477 Location Of Proposed Site: 201 S 00018TH ST Spr AssessorsMap#: 00000000 Lot: Block: Addition: Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00000 Subdivision: clTY oF SPRINGFTELD, OREGON Owner: City Of Springfield Phone Number: Address: 225 Fifth Street City/State/Zip: Scope Of Work: lnterior Alteration Renovation of 208 sq. ft. interior space Remodel existing lunchroom into two offices 541-726-3700 Springfield, OR97477 Value: $'17,400 Contractor Type GeneralContr Electrical Contr Contractor Jm&SConstructionlnc 110 Third Ave Se, Albany, OR 97321 Eaton Electric lnc Po Box 1911, Corvallis, OR 97339-1911 Registration # 1 36546 Expiration Date 8t31t2001 Phone 541-719-0313 541 -929-5368672116/6/2003 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 lnspections Building I Framing Drywall Final Building Rough Electrical Final Electrical Rough Mechanical Final Mechanical - Prior to cover. - Prior to taping. -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. -When all electricalwork is complete. Mechanicat - Prior to cover. -When all mechanicalwork is complete. -{(= roDI> J-mco..fif: e-i ..DEOCD :r>TFJ -:grH r'l { t\l clrfl-,8.(}75D77 (f.. zintJrnc)mrf(=tr?'(} m t3 (f,(}.Ln.- ." Cf (} Job# 99-01492-02 Construction Types(VN) Wood Frame Occupancy Groups:Asmb w/o stage 300- General Business # Of Buildings: # Of Stories: Height (feet) Page 2 of 2 Storage # Of Bedrooms: Handicap Access? Area (Sq. F Main Accessory: Current Units: Proposed Units: Census Code:Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 07t24t2000 2660Public PIan Review Total Plan Check 17,400 $83.53 $83.53 Building Building Permit State SLrrcharge For Building Permit Building Administrative Fee Total Building 07t24t2000 0712412000 07t2412000 2660 2660 2660 17,400 $128.50 $e.00 $3.86 $141.36 Electrical Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 07t24t2000 07t2412000 07t2412000 2660 2660 2660 3 $39.00 $2.73 $1.17 $42.90 Mechanical Minimum tt4echanical Permit Mechan ical Administrative Fee Alter/Add to ea Appl Unit or System Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 07t2412000 07t24t2000 0712412000 07t24t2000 0712412000 2660 2660 2660 2660 2660 1 $.00 $.45 $15.00 $10.00 $1.05 $26.s0 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 allwork 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 the proper time, that the project address is readable from the street, that the permit card the front of the property, and the approved set of plans will remain on the site at all times during on Signature Date is located $294.29 l- r!/ *oa t.2/C9/iiC j-i':L) ;i:ii iriu 5417 !89 CiII 3F S!'R:\GTl3L''t ^'-) SPFlIHGFlELD The tolowlngjroJect as submitted has the foilowingzonins, ano doei ,ra;"qr;;,;;:.1i. rrna ,."approval Zoning Pu.a 225 F.rFrE STREET DAIC SPRINI;FIELD, OREGOTI^,9t&EZo Sisnature INSPET:TION RXQLTEST: 726-3769 OFFICIE z 726-3759 ELECTRICAL PERHIT APPLICATION Ci ty Job Nunber COHPI-ETE FEE SCffiDUlT BELOTI Nev Residential-Single or Hulti-Family per dvelling unit. Service Included:ltems Cost 1000 sq.ft. or less Each additional 500 sq. ft or por:tion thereof Each Manuf'd Home- or Modular Dvelling Service or Feeder $ 8s.00 s 15.00 $ 40.00 B. Services or Feeders Installation, Alterat ions 200 amps or less 201 amps to 400 amps _401 amps to 600 ailps _-- 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect 0n1y c-Temporary Services or Feeders Installation, /r1teration or Relocation 7 -(1-02 1. LOCATION OF TNSTALLATION2o/ 5 /&r4 i7 DESCRIPTION JI]B DESCRIPTIONruNuxrh#ct@2f7c qfrq. Permi ts are non-transferable and expire if vork is not started vithin 180 days of is.suance or if vork is suspended for 180 d,rys. ct ry -C-, qzo/ts- vnone (, ft) ?af -qV a{ Super: risor License Number 33S3s Expir;ltion Date c zdC Const: Contr. Number Z Expi rrl t ion Da te 6 20pL) sing El EC trician 3 A Sum 2. CIONIRACTOR INSTALLATION OHLY Elect rical Contrac ,o, €o,7*'-€/*..1r,tZ tn-r_or Relocation: Add re,ss /,o,,faz /? / t s 50.00 $ 60.00 $100.00 s130.00 $300.00s 40.00 200 amps 'or I 201 amps to 4 0ver 401 to 6 Over 600 amps 00 amps 00 ampsor 100tt*ilofTs a6ovE- $ 40.00 $ ss.00 s 80.00 see ttBlt 5es 'e-2424&d-Phone 736 - )76/ OIJNER INSTALLATION The installation is being made on propel:ty I ovn vhich is not intended Itil:H]{OIEU$rIe, lease or rent. r -1fti lUl lrt':i;]t!unLl 'ilh' i| ffi,e g.?3$ iESS ture : fifi*i ,:T -iili: ]iUfi DATE: Nev, Alteration or Extension Per Panel onecircuit I 535.00 Each Adctitional Circuit or vith Service or Feeder Permit -L S 2.00 0vne Add r Ci ty fri C:;S D E ,?@ not included) 40.00 20.00 36.00 Miscef laneous ( Service/ feeder -Each installatiorr Pump or irrigation S SignzOutline Lighting-- S i,imi ted Energy/Res - S Limi tert Bner[y/comnr $ 5 SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative !'ee TOTAI OF OREGOA' t-|.! RECEI'IED c, () 3?:9- / -zT-T }IINGFIELO The tollowing prolect as submilted has the lollowing ii'iiii. iio",i.es nouequire speciirc land usd applo\ral ?to [ftIE: JiJN i0 l0il0 f;t{T Ht[D: ? $ ]S. 5il. [HAi,lfiE: [ffSi{IEft:00i Sum ee xBu a56Til Zonlng o-@ 225 FIFTE STREET SPRINGFIEI,D, OREGON 9T4Au1pnzed Signature INSPECtION REQI EST z 726-3769 OFPICE: 726-3759 1 t )-n I..EGAL DESCRIPTIONi"io33Loo OOSOO ts are non-ransferable and expirelf vork is not started vithin 180 days of issuance or if work is suspended for 180 days 2. CONTRACTOR INSTALI.ATION ONLY Electrical ContractorL.R. Brabham, Inc. Address 68 I'lest "Q" Street Ci ty Spri ngfi el d Phone 7 47 -6638 sup ervisor License Number 14735 Expiration Date 10/0u01 Constr Contr. Number 08699 Expiration Date 12/18/00 Signat of Supervising Iilectrician 0r 6F/€/0 D 3A5 rkk_5lreeer 6FlEh)Phone /26,376 t +*t)PERHIT APPLICATION Ci ty Job Nunber ()O ^Ol038^O 3. COHPI,ETE FEE SCTIEDUIJ BELOV New Residential-Single or HuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular 'Dvelling Serlice or Feeder s 8s.00 s 1s.00 s 40.00 B. Services or FeedersInstallation, Alterationsor Relocation: s300.00s 40.00 C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -401 amps to. 600 amps -601 amps to 1000 amps Over 1000 amps/volts Reconnect OnIy Date *ffiv s s0.00 s 60.00 s100.00 s130.00 200 amps"or less 201 amps to 400 amps -over 401 to 600 amps -0ver 600 amps oL' 1000ETTs Branch Circui ts -Each installatlon Pump or irrigation _ S Sign/Outline Lighting- S Limited Energy/Res S Limited Energy/Comm S 40.00 55.00 80.00 s s D s Ovners Address Ci ty Nev, Alteration or Exter,sion Per Panel onecircuit I S35.oo Each Addi tional ela--Jircuit or vith Serviceor Feeder Permit S 2.00 35, - E. Hiscellaneous (Service/feeder not included) OVNER INSTALI,/ITION The installation is being made on property I oun r.rhich is not intended for sale, lease or rent. 0vners Signature: DATE: 063 a oO 40.00 40.00 20.00 l'oo 5. SUBTOTAL OF ABOVE 7 tZ State Surcharge 32 Administrative Fee TOTALRECEIVED D 35 a I