HomeMy WebLinkAboutPermit Electrical 2001-4-4
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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
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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