HomeMy WebLinkAboutPermit Electrical 2000-8-9
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1 Job# 00-00923-011
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Page 1 of1kANS#: 01-0002866
DATE,AUG 092000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00923-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 5256 Main St Spr
Assessors Map#: 17023331
lot: Block: Addition:
Tax lot #: 04500
Subdivision:
Owner:
Jane Overpeck-Gonzalez
po box 578
Phone Number: 541-741-4962
City/State/Zip: walterville, OR 97489
New Value: $0
Address:
Scope Of Work: Miscellaneous
electric service change
Rough Electrical
Electrical Service
Final Electrical
,- \,\\\
Registration #/ GExpiration Date
,;.'^ eQ>J ?.'t'~~\..
lr Brabham Inc 8699 ,,' ",0' JW:1~'0'i;'Ic
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68 W Q St, Sprln9field. OR 97477-2142 ,,~-' ""'O~ ft};:) Or:(\\O' 0<;\<
'~~f1I..0\) 0'8 ~\ ~'1 ~~ [\,'
Mechanical Contr Harvey & Son Heating & Air ConditiO, R~\~~\~~ 'is',o';\',JJ2~~ ~,\!P
4680 Main St, Springfield, OR :<..\X,~ ~0'Oci~"~~""~~vo~,fi)'~'I..~~O,
97478-6054 ~~~O~~~O~n~~: o'O,~.~O(\~'~~:>'"
. \ ~,;,~<?I.J .~v\..y;\"- ~Jf''''
OffIC~,:"O"'~\)~ 1(\1t!I ~p, n
land Use: '~~(;)~~~~~,o\~i" # Of Buildings:
Zoning Code: ~~vJli (}" Occupancy Group:
Bedrooms: ~ Heat Source: R--'+-
Range: Sq. Footage: ,(:~O 0,0\
.- ",,,- \":)'
To request an inspection call the 24 hour recording at 726~3769. All inspections reqUeste,9,'eef~~~;~:Ob(;.0<?-
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made tM:follo~b1g
working day. (jf(;;. sy..'r'v~~<?-,\y..\~\P"'v
R . d I . .-<'1 ..<5, ,N,\5 ~Q,~
eqUlre nspectlons.... iX;.'(" ~~ \""
I Electrical 'N..d~S"y..o~1.-~ ~~O<?- ~O<:;).
- Prior to cover. 'r~"\ ~x,~G :-\"~
-Must be approved to obtain permanent power(p~ co'!:J<:;)'f.
-When all electrical work is complete. 'r~..J..""
I Mechanical I
Contractor
Phone
Contractor Type
Electrical Contr
541-747-6638
541-746-7677
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
1
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r Job# 00-00923-01 1
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Page 2 of 2
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. r., t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
06/12/2000 2111
06/12/2000 2111
06/12/2000 2111
Value/Quantity
I
Fee Amount
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
1
$50.00
$3.50
$1.50
$55.00
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
08/09/2000 2866
08/09/2000 2866
08/09/2000 .2866
08/09/2000 2866
08/09/2000 2866
08/09/2000 2866
1
1
$5.00
$.45
$6.00
$4.00
$10.00
$1.05
$26.50
$81.50
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 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.
Signature
Date