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HomeMy WebLinkAboutPermit Electrical 2001-4-4 " .. City Of Springfield Development Services Community Services Division Building Safety I Job# 00-01622-01 Location Of Proposed Site: 36417 Brand S Rd Spr Assessors Map#: 18021000 Lot: Block: Addition: Owner: Address: McDougal Bras Investments PO Box 87 Phone Number: 541-937-2181 City/State/Zip:' Dexter, OR 97431 Scope Of Work: Electrical Only New service additions Contractor Type Electrical Contr Contractor Doug Palmer Electric Inc 123 Monroe Street, Eugene, OR 97403 Registration # 90725 Fee Paid On Receipt# Electrical 11/02/2000 3677 04/04/2001 0004844 11/02/2000 3677 11/02/2000 3677 04/04/2001 0004844 11/02/2000 3677 04/04/2001 0004844 Permanent: 200 Amps or Less Permanent: 200 Amps or Less Permanent: 201 to 400 Amps State Surcharge - Electrical State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee - Electrical Total Electrical Grand Total Required Inspections Scheduled Inspection Inspector Date Date Electrical Rough Electrical Final Electrical Electrical Service 11/03/2000 11/03/2000 Dave Gadomski [nd Of Report Tax Lot #: 00900 Subdivision: Value: $0 Expiration Date 5/3/02 Value/Quantity Result Comments Pending Pending Information Only Page 1 of 1 TRANS#:Ol-0004844 DATE:APR 04 2001 AMT RECD:2 $ 110.00 CHANGE: CASHIER:004 Phone 541-434-5600 Fee Amount 1 2 1 $50.00 $100.00 $60.00 $7.70 $7.00 $3.30 $3.00 $231.00 $231.00 ~ The following project as suhmittprj h~.S the following . d r ~ no' le...',ulre ;:;~eclflc land use zoning ano Ui:l~ c. , approVal \ I . Zonmq ~ Et.ECTRICAL PERMIT APPLICATION 97477 '1~OLf-Ol . 72~ll-31'6'9- ,.....- ) C! ty Job Number ~ -#!>/~22 ".:::::3 I . b <=KIA. MLHIIUIl:lbll Slgr,awI . 3. COMPLETE FEE SCHEDULE BELOY 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION ~A. NSTALLATI~ ~ Y /"/ ~A'P '7' :7JP. "I ~~, LEGAL DESCRIPTION I.~~:?"p?'~ ~ . JOB DESCRIPTION / ~ ~7 {"'i3;>. ?~W~/ ',~~ '7'-ii'~ ~ e-~ 5 . Permlts are onJtransferable and explre if ~ork is not started ~ithin 180 days of issuance orif ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical. Contractor ~ililnwrf'~Ddtiv ' Address,9.D. \hl\~ L\Cl;2--- ~~\L1t1 ~. i ' Ci ty~ lV\(*,6\J\(~ Phone ql1~.DW7 Supervisor License Number ~4~~ Expiration Date Ill/DI!O' Constr Contr. Number ttD1;ItJ OVNER INSTALLATION The installation is being made on property I 'o~n ~hich is not 'intended t'OO:;~1msljfjile, lease or rent. :39NtJH:J 00' OrP~~~J~~~~ure: IDOl fJO ;:Idl,;l: 311,;10 ~t;8~000-T0~~S~~~! DATE: RECEIPT #: RECEIVED BY: A. Ne~ Residential-Single or Multi-Family per d~elling 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 D~elling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations .or Relocation: 200 amps' or less ' '2. 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $,50.00' /&:e> $ 60.00 $100.00 $13,0.00 $300.00 $. 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "B" abOVE;! , $ 35.00 $ 2.00 Expiration Date .' sl,/d2. 200 amps"oT less ~ ~ 201 amps to 400 amps Signatu~e I S,t:lperViS,' '~~ctrician " ., ."Over.401,to600a!llps /, Over 600 amps or 1000 volts - . "L ~7) --. >-- / D. Branch Circui ts O~ners Name.M ;~~~r '/c.;.~~/o:. p. r ~~7 - f, I"/r Ne~ Alteration or Extension Per Panel Address;7># ~A (47 ,. One Circuit CitY/~>'~/~ Phone ~~';j,?""~4J Each Ad'dit'ional C~r.cuit or ~ith Service or Feeder Permit E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7%5 State Surcharge 3% Administrative Fee TOTAL ,f ~. De:> ? ..~-O ~. djj--C:> ~~.~ # Oregon Construction Contractors Board >> License Details Page 1 of 1 OREGON CONSTRUCTION CONTRACTORS BOARD Query Details Details on Oregon License: 90725 NAME: DOUG PALMER CORPORATION ADDRESS: PO BOX 482 JUNCTION CITY OR 97448-0000 WORK PHONE NUMBER: 541-998-3047 LICENSE STATUS: Active EXPIRATION DATE: 5/3/2002 DATE FIRST LICENSED: 5/3/1993 ENTITY TYPE: Corporation LICENSE CATEGORY: General Contractor/All/HI EMPLOYER STATUS: NON-EXEMPT BOND COMPANY. DEVELOPERS SURETY " AND INDEMNITY CO BOND AMOUNT: $15,000 BOND EFFECTIVE TO: 5/3/2002 View Bond History INSURANCE COMPANY" FEDERATED MUTUAL "INSCO INSURANCE AMOUNT: $1,000,000 INSURANCE EFFECTIVE 5/18/2001 TO: View Insurance History View Claims Histof\/. View Associated Names View X-Reference Licenses View SIC Codes View Buildina Codes Division License Details QUERY MENU CCB HOME Send mail to Web Administrator with questions or comments about this web site, Last modified: February 15, 2001 Ortem~_, t",r ~,'.,",S vn.wne W State of Oreoon Liabilitv Statement http://ccbed.ccb.state.or. us/Bill/regno222 .asp 04/04/2001