HomeMy WebLinkAboutPermit Electrical 2001-6-7
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Job# 01-00576-01
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Page 1 of 2
SPRINGFIELD
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00576-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 36417 Brand S Rd Spr
Assessors Map#: 18021000
lot: Block: Addition:
Tax lot #: 00900
Subdivision:
Owner:
Address:
McDougal Bros Investments
PO Box 87
Phone Number: 541-937-2181
City/State/Zip: Dexter, OR 97431
New Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Monti Electric Inc
Po Box 30478, Portland, OR 97230
Registration #
135326
Expiration Date
5/17/01
Phone
503-253-5921
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings: .
Occupancy Group:
Heat Source:
Sq. Footage:'
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.
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
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Job# 01-00576-01 I
Paid On Receipt#
Electrical
06/07/2001 5710
06/07/2001 5710
06/07/2001 5710
06/07/2001 5710
Page 2 of 2
Value/Quantity Fee Amount
4 $200.00
3 $6.00
$14.42
$6.18
$226.60
. $226.60
(L/ 1\0)
Date
06/05/01 TUE 10:51 F,~1 5417~63689
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CITY OF SPRINGFIELD
~002
DEVELOPMENT SERVIOES DEPARTMENT
, . 'tted has the following
'ect as subml. "d use
1'he following prol . \ requirE: spE:Citlc Ian
. d doe& no
zoning. an ,
225 FIFTH STREET approval .
SP~rl.!:iLD, OREGON 97477 Zoning ''1=~) F\
INSPECTION REQUEST. 726-3769 fb :" '. Ci ty Job Number U I ()O S 7 &, 0 I
OFFICE: 726-3759 Date - ' -
S' nature. ~
AuthOrized 19 3. COMPLETE FEE SCREDl1LE BELOV
, 1. LOCA'qON OF IN,S!ALLATION n. \ \
3lrL\n ~ ~ lF~ -salf.~,...+d:\a ,r'"\_ A.
-~~S l<.d . '-,) .'-"L.
LEGAL DESCRIPTION
I K 0.7 _ \cj ao oa~O()
225 FIFTH STI-iE:::ET
SPRfNGFlELO. OR 97477
(541) 726-3753
FAX (541) 726-3689
CTRICAL PERMIT APPLICATION
New Residential-Single or
Multi-F~ily per dwelling unit.
Service Included;
Items
Cost
Sum
JOB DESCRIPTION 1000 SQ. ft. or less
(L\) 2oo~.... r ":>f.2..\JiC:1"-~ ..J, ":\ ~h Each additional 500
sq. it or portion
Permi ts are non-tran'sfer:able"and)le*pire thereof
i f fvoF~~\f~~(not";s:t'a:!lt€dNJ.i~H~R;;>r80t"I\da"-s :each Manuf (d Home or
, ~ h +''l'~ On:>.nnn V 1'\"jJ
off41ssJlanCe'3 ot'.O:Pf,3~otK,1.i's susp.eniifd for Modular Dwelling
18Dt'da~s:on Center. Those rulas are se lon~1 Service or Feeder $ 40.00
~"~~~~'~!::2-001-0010 through OAR 952-001- ~ ''''''''''lj!'\~.
2~n vCvl~u:\.k'C'l'OR .INS[!ALLA[!.!,oNf ONLYLlles.by B. Servic.:e's.;'Ji'f"F'E!~ders
009~;,..:ou Jl~a:'P.~~~~."('!\J;t';;.-th~MIA!",horJe' .::; rnstal~fl~j~lt.i,:{;~Wlt~t$\UoSXPIRE IF THE WORK
Elecct.t"llc~~I1Gon.tractor~fn.}~~J~1:v<.. or RelOcatlon: '._ NDER.THIS PERMIT IS NOT
number for the.oregOl, ~","""'J' - 1 AUTHORiZtD U . 0:>
;/ AddressV@rij~.f~l1~9W-2344). 200 arnM)af.A.1'~jSSD OR &NOO~00~-
201 amp~ Iral~O~Camps $ 60.00
Ci tYthrrH ~'f'\. ,.<"..\,..J)Yl" _ PhC?nl~~ '\ QI 0-2(,02. __ _ 401, ~mU~'~'Cl8~0.I~i\~!!P'sR.I~)u. _~$J._OO. OO~_
, ' ..-- ~, '0" 601' amps to 1000 'amps $'13'0:00
Supervisor License Number L.\S'\' OS Over 1000 amps/vol ts ---:-- $300.00
. / I Reconnect Only $ 40.00
Expiration Date \0 01 01
. ....
Constr Contr. Number Z(..-IOlc?c...
Expiration Date lolollul.
Signature of Supervising Electrician
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_er5~~ lr,~m~s D.
Addre~ ~O. ,60';<'" ~ '7
Ci~--r Ci2-lhoneq 2.,'7 -;). I ~ I
uw~~ INSTALLATION
The in$t~llation is being made on
property r own vhich is not intended
for sale, lease or rant.
Ovners Signature;
DATEl;-=o ~~/-O I
RECEIPT :tf: h//U ..
RE\';I:iJ.v.till BY:!..), I no..cJtv--c&'0
I
$ 85.00
$ 15.00
c.
remporary 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
Branch Circuits:
volts
$ 40..00
$ 55.00
$ 80.00
see '''B''
above
New, Alteration or Extension Per Panel
One Ci.r:euit
Each Addi tional
Circuit or with Service
or Feeder Permit ~
E. Miscellaneous (Service/feeder
-Eaeh installation
Pump or i.r:rigation
Sign/Outline Li~htini
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
, , TOTAL
S 35.00
$ 2 . 00 ~ 0.::
not included)
$
S
$
$ 36. 00 I)
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40.00
40.00
20.00