HomeMy WebLinkAboutPermit Mechanical 2000-3-6
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l Job# 99-01656-011
Page 1 of 2
TRANS#:01-0000832
DATE:MAR 06 2000
AMT RECD:2 $ 45.10
CHANGE:
CASHIER: 059
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-01656-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1331 Main St Spr
Assessors Map#: 17033632
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 04300
Subdivision:
John Woodrich
2083 West 29th Avenue
Phone Number: 541-747-1616
City/State/Zip: Eugene, OR 97401
Addition Value: $500
Scope Of Work: Mechanical
Contractor Type
Electrical Contr
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Install gas heat with supports
Contractor Registration # Expiration Date Phone
C & SElectric Inc 3849 9/1/00 541-741-2236
Po Box 1482, Springfield, OR 97477-0189
Fm Sheet Metallnc 89710 3/15/01 541-344-6002
544 Conger St, Eugene, OR 97402 1:10.:1 Q3N 'a0/1:l3d ^ \fa 00
On^,I.Ic,,", ~. 0 1 ,\ MI.I
OffiteLlU~'il' 11111/1-1=.J ~IH -. '" <-ILll..J:JON3VV/AJOO
>It/OM 3 - ~ 1. i:l30Nn O;r'u =-
2CNW Land Use: H.L::II=iI:3/ClJ(3 J~" " #efiBulldltlgs:
Ivl-l~l'.'u
Zoning Code: . acciipi!J/R! Group:
Bedrooms: 1jg!J11911f1lie:
Range: Sq. Foo(age:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Final Building
Rough Electrical
Final Electrical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Required Inspections
I ~!!.i1!!!ng I
- When all required inso~tib'iit'~1lv'E!JI5ee.. .....~~,u.Jed.aonthe building is complete.
.'Jdllow rules adonr.Mb~t;; "~O'i<Jl;CS.ycru [0
I ~,u!rJER!ctric.a1mp.f rhl'~l' (~Ie~egon Utility
-Prior to cover. '" Uflti ~52-00HJOlO thra J 0 are set forth
-When all electrical ~8r'Rqs Y:ah1plete!)Dta"I....oo~2; t AhR 952-001-
Cal/ino tt}f f'H" . 0 , I) r e rules by
I nU_li"!!!!i ore.. rhE lelephone
-After line is installed and caRP!lllt~fl~~o 51i~#/ig:a~'%'ppllalioe.
- Prior to cover. -;$;$2-2344).
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all gas work is complete.
-When all mechanical work is complete.
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
Fee
Commercial Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
More than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
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I Job# 99-01656-01 I
Page 2 of 2
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
12/09/1999 36390
Value/Quantity
500
Building
12/09/1999 36390
12/09/1999 36390
12/09/1999 36390
500
E:lectrical
03/06/2000 832
03/06/2000 832
03/06/2000 832
4
Mechanical
12/09/1999 36390
12/09/1999 36390
12/09/1999 36390
12/09/1999 36390
12/09/1999 36390
12/09/1999 36390
12/09/1999 36390
1
1
1
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 and that the project address is readable from the street.
Signature
Date .
Fee Amount
$9.75
$9.75
$15.00
$1.05
$.45
$16.50
$41.00
$2.87
$1.23
$45.10
$2.00
$.00
$.47
$6.00
$7.50
$10.00
$1.09
$27.06
$98.41
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INST~LATION
1331 f'ht1\ \'\ S-r
LEGAL DESCRIPTION
ELECTRICAL PERHITAPPLICATION
City J~b Number qq... () JO$"-or
3.
COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Mul ti-Family per dwelling uni t.
Service Included:
iPB D~~" II)^ \ I 1000 sq.ft. or less
lA I Ve... . ~ li\!nC- lI~~ ,{S -< Each addi tional 500
, l\e.(l4Iv .g.IEtll'\d el--(u~ sq. ft or portion
Permits are non-transferable an~expire thereof
if work is not started within 180 days - Ue~ Each Manuf'd Home. or
of issuance or if work is suspended for Modular .Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
"\ Phone /7
Supervisor D~ateJhse r~umb~l) p ~
Expiration ~
Constr Contr. Numbel \
Expiration Date \J
City
Signature of Supervising Electrician
Owners Name \\Dh\1 IAJOoJv(d'\
Address 411 ( 'l5ii5-
City SpPj Phone 3L+2-5501
OVNER INSTALLATION
The ins talla t ion is being made on .
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
.B. Services or Feeders
Installation, Alterations
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 Only
Items
Sum
Cost
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
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New, Alteration or Extension Per Panel
3S
One Circuit $ 35.00
Each Additional
Circuit or with Service,
or Feeder Permit ~ $ 2.00
/p
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
41.00
'2,9,7
1.2,::j
l.fS. / D
40.00
40.00
20.00
36.00
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i09 SPJt.FIELD
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
I;')?-, I frlcu:.......
3. COMPLETE FEE SCHEDULE BELOY
LEGAL DESCRIPTION
I~o~ ~{) ~ -::2. Ol{;?0e>
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,
I
JOB DESCRIPUl;oN
l1tw &A..~
Permi ts are no"n-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor C~SSltttrICl~V'(...-
Address 0,0. ~j.\412-- ..
~1PJ
City
Phone 74/-2-2,310
/bf is'
IQ-DI-OI
3l~q
1 b -0 I -qq
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Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
'l?' 'w"" """dd~
wners Name -1~ \U9-GWo1A..
~ ~
Phone 3t(2..~ t5SO I
Address Lj I'
City ~"6J....
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease"or rent.
Owners Signature:
----------~-z:-------------------------
DATE: ,}/610{)
RECEr"PT 11: , ~ 3~ .
RECEIVED BY:
e..._.;~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
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. Only
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circui ts
..
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t ~
$ 35.00
~ $. oIJ>
$ 2.00. 6. <00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
~ State Surcharge
~% Administrative Fee
TOTAL
$
$
$
$ 36.00
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Jf..,,7
-'"l,?=1
.:...1/ /0
. 7,
40.00
40.00
20.00