HomeMy WebLinkAboutPermit Electrical 1992-10-22
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The,101/0w;n r;
225 FIFTH STREET Zoning. Ond~P ~,ec: no submitted h ,ELEmICAL
97477 el";rov8I, oe, no, requhe speeili;"' ,..liro,;owlnp
SPRINGFIELD, OREGON and use ,
INSPECTION REQUEST: 726-3769 Zon;"" C C Ci ty Job Number _ _ez.2. /9' ~
OFFICE: 726-3759 ",tO~,;:itS~3'.s.~~ COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION..,"""'!S;(."otl.~, s<
10 I ~, (t,.Jt, .._....:M--ble.\Ljtesiden tial-Single or
Multi-FamfW per dwelling uni t.
Service Included:
LEGAL DESCRIPTION 0 b I Q:)
/7z9?-'5S~ ;;'';~'tSi
JOB QESCRIPTION I_~ ,
It){J\.L U\..Ul'h rr(I\JLlLJ
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 eJ:s E'~ 1 ~,
1
Address ~,D, bL 1+2'J--,
,
Ci tYMpi\Jm~~rL Phone 'liff <J.?.3fo
Supervisor License Number /10 2h S
Expiration Date 10 -1- q.5
Constr Contr. Number 03'64Q
Expiration Date 9-I-q3
Signature of Supervising Electrician
/!7 '-7~-f ~ 7d/c-7 /::'
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Owners l<Iaole. ~, \ f~ m/'IJ
~ i..f-~
Address ~I~ Q, ~.
Ci tY~f\J,mw},M 1 Phone 1LI-b - 0 b31
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: / /.}.:z::i?-,?,?
RECEIPT II: 4~
RECEIVED BY: ....... -{'~-z
'1' -
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One Ci.rcui t
Each ^dditional
Circuit or with Service
or Feeder Permit 4
$ 35.00
$ 2.00 8.00
not included}
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge.
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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I, EXTERIOR WALW'> rNSlJLATED WITH BLOWN-IN TYP~ INSULATION FOI< R-Iq
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2, WINDOWS WEATHERSTRIPPED
3, PARTlIlONS TO C~ILING HI'IGHT, SHEETI<OCKED, TAPED, SANDED, PAINTlOD (ALL WALL!:> PAINTEDI
4, VINYL ON FL.OORS AND WAIN?COTING IN BATH
~" STAIR COVERING: CAI<PET, WOOD, OR VIN'11,. (FOUNDATION'S OP'rIONI
b, ELECTl2ICAL WORK CONFINED TO ReLOCATION OF 5WITCHE!> AND RECEP'rACLE!> IN!>TALLED UNDER ",ORK OF
ORIGINAL PERMIT
TO EXIST
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k1ES Tl200M WAL.L.S NI THIN 4B' OF WC
TO BE WAIN!>COTTED NITH VINYL SHEET
MA TERrAL WITH 5- RUBBER BAS" IN
ROOM
SECOND
FLOOR
I
I
TENANT
IMPROVEMENT
DATE nSEP92
DRAWN 56K
CKK'D
PROJECT NO,
SH[ET
I SCALE
PROJECT TITLE
SPRINGFIELD DEPOT
Springfield Depot r oundation
@ Branch EnaineerinQ
212 Q S'tr."
Sprll''''Jti.14.0r.-<J'I" 97"'1
(~3) 14"-0537
59-155
OF
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TOTRL P,02
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City of Sp~lngfield
225 Flfth Street
Springfield, OR 974'77
(503) 726-3753
T~i'lnsi'lc>hon nUlTlbe~ 00b478
Oct,ober' 14, 1992 11: Db AM
Recelved fponl~
Contri'lct./O"'n
Addr'ess: 101
City: SPFLD
DEPOT FOUNDATION
OWNER
SOUTH A 5T
St: OR Zip: 97477
-B1lilding-
Job ~: a90bb8
DeSC>~lption
Fee
Slde"'i'llk
Toti'll:
.00
Thi'lnk you, Lorne P.
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