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HomeMy WebLinkAboutPermit Mechanical 2000-12-28 (2) ~ ........... '. .- Job# 00-01834-01 Page 1 of 2 TRANS~:01-0004132 DATE:DEC 28 2000 AMT RECD:2 $ 67.20 CHANGE: CASHIER: 061 ~ 225 North Fifth Street Springfield, OR 97477 . . . RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01834-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4531 Franklin Blvd Spr Assessors Map#: 17033444 Lot: Block: Addition: Owner: Address: Tax Lot #: 01711 Subdivision: Shirley Thomas 4531 Franklin Blvd sp# 100 Phone Number: 541- - City/State/Zip: Eugene, OR 97403 New Value: $0 Scope Of Work: Mechanical Contractor Type General Contr This is a copy with a new Application Number Contractor Leesman Construction 835 N 8th Street, Harrisburg, OR 97446 Registration # 72082 Expiration Date 4/1/2001 Phone 541-995-6157 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr, Type: Bedrooms: Heat Source: Water Heater: Range: NOr!CE: Sq, Footage:' - . . . THIS PERMIT SHALL EXPIRF: IFTHEWORK To request an inspection call the 24 hour recording at 726-376~. ,b,IIJn!lR.~r~qn~r~~qJe~,l,td,~bE1~~r~i7;<9,9,nJ a.m. will be made the same working day, inspections requestedlafter-7:00ca:ml.~will:lielmaaertlielfollowing working day. CO;viiViENCED OR IS ABANDONED FOR R . dl ^'t'.V0400'nAVOi::Olnn equlre nspec Ions Electrical Rough Electrical Final Electrical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical - Prior to cover. - When all electrical work is complete. Mechanical I AI IL-l '.. v' ,':~""7"''''' !?'....:'':'IJ'::);~.Ol! to -Prior to cover. follow (["2., "lr1~"i.":' ',":hr Or-con Utility -After line is installed and line ha~beeh~c6rinecteaitoiininifnUIli~ofcrri'e'~pm;Wte. Pressure tel - When all gas work is complete. in UAR 852-00'j-OlJ'i IIlhrmlAIi OAr! a52-lJU'I- - When all mechanical work is complete, You may nl]t8in :~'l)1i~c oPh'J rulss by cl:llliil~ :ht: .;"nc..J'. \'~';lJ: 103 wlaphooe nu,lIb.JrYJr 111.'. JI-;JO(l ~ti;it~' ,\Iotification Ca;"'l'::"':~'. 'l-~..' L~'::~~~~44). --- '~ . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: Fee Branch Circuits WIO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Mechanical Permit Administrative Fee - Mechanical Gas Fireplace Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total I Job# 00-01834-01 I # Of Stories: Current Units: Census Code: Does not apply Total: Paid On Receipt# Electrical 12/28/2000 4132 12/28/2000 4132 12/28/2000 4132 . Mechanical 12/28/2000 4132 12/28/2000 4132 12/28/2000 4132 12/28/2000 4132 12/28/2000 4132 . Height (feet): Proposed Units: Page 2 of2 Value/Quantity Fee Amount 2 $37.00 $2.59 $1.11 $40,70 1 $10.50 $.45 $4.50 $10.00 $1.05 $26.50 $67.20 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 t~ and that the project address is readable from the street. /,.;d J;..,,, . . ~. Signature 12 - 2. Si' -<0 D Date .".- ..)... . . , DEVELOPMENT SERK'R5i~.jiUi'flIr~~~lq"i'e specihc -t e d does'{{l . zon,ng, an I \)f2.. - appfOVa.\. -- 20ning- ~_.?-~.of) -::: 225 FIFTH STREET \ I -- q(~ __- SPRINGFIELD, OREGOOe97477s,ig,nalUre ~ INSPECTION REQUEST:J,,-.u7~-3/69 OFFICE: 726-3759 1. WCATION OF INST~TION,_ 4'~ I t-r~lcJ,,,,- 77rUrl LEGAL DESCRIPTION /70 33,LfL{l( =17!f JOB DESCRIPTION Il,vo C,D.r,A-.--co.... Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Dw~ Address ij5?:,/ ;:::;~...l;;//" Ci ty fEua~ 974'c:;.~one / Supervisor License Number 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION City Job Number VO - 133'1 - 0 I 3. COIIPLETE FEE SCHEDULE BEWV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: S/IId7 5~200 amps or less ~ /t>o 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Expiration Date Constr Contr. Number 7Z0g2- Expiration Date Signature of Supervising Electrician City OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. M)sra~u;e: l ~ -~--~-----------~------ DATE: \2 --e.g ero ,,,,,,,"'.1< l' I: 1<-{13.~ RECEIVED BY: (\{! $ 50.00 $ 60.00 . $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL D. Branch Circuits Owners Name . .sh.);/~ L.... Yh8...-?&i<; ~'J New, Alteration or Extension Per Panel Address <-(r-'JI r-~lCj,'" giveR -;d/t>O One Circuit 5> f.f 0 Phone 5'"03 - '3 Zs - ~ 7 3~Each Addi t ional Circuit or with Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 volts see "B" above $ 35.00 'JS r , $ 2 2.00 not included) $ 40.00' $ 40.0~~ $ 20.00"'"" $ 36.0f'g~ ("')..# ~ --<;:> '=' .. (it. rr1 0 ...-.......,~ ::c I .---.'c:::'~"""lo..C:&.)O m ::c 0:) 0 ;t""~,..,... 0 ~~t;.,~.,., o--mfGoL..J 1--I-..OOf"..J