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HomeMy WebLinkAboutPermit Electrical 2000-12-29 . . . b 'ttad has the following The tollOwing prOlect as su .ml pacific land use zonmg, and does not requIre s approval.. ~ b ZODlng . "'..,., 'I~J 225 FIFTH STREET Date - f,IJ-./ SPRINGFIELD, OREGON 9747~l)IlI;i~ed Signature, INSPECTION REQUEST: n'ri-.Hb9 OFFICE: 726-3759 1. LOCATION OF INSTALLATION -2 ~-?'A' -:i~~e:? LEGAL DESCRIPTION / 717~ ~ 5:;'2.. .'~:2 7~ JOB DESCRIFTION L)Fr/L..$" ~~.....c./ 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 Electricql Cont~actor Eu.?{eJ1e. aecfn{'~ (J Address Jf)O /YJmyZ)C- City ,0 fJ 9 ene. Phone..!.....-?</V-:-1'.=5&/ Supervisor License Number JL)'1~~ Expiration Date /0/0/10/ Constr Contr. Number c;cg'j02-a{) Expiration Date c5ft7/0/ . Signature of Supervising Electrician G"~~'d' C D Owners Name .::5?PLP ~.t/)'+o' ~. Address----=::?~ .'-1 ' ?7P~~ Ci ty...-5~ ~?f. Phone 7ijl-/" '3?"A6 ;I/NER INS{AL~? . The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: . A, ELECTRICAL PERKITAPPLICATION Ci ty Job Number ~-~/ 7172-cJ/ COMPLETE FEE SCHEDULE BELOV 3, New Residential-Single or Multi-Family per dwelling unit, Service Included: 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 $ 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 volts Branch Circuits $ 40,00 $ 55,00 $ 80,00 see UBI! above ," New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permi t J 7 -.-1.- $ 35.00~~- $ 2,00 ~ 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% State Surcharge 3% Administrative Fee TOTAL .b9.~ ~.~? ~,C> '7 '7 _~,6) .,- . I Job# 00-00503-01 . Page 1 of 2 TRANS#:01-0001127 DATE:APR 03 2000 AMT RECD:2 $ 42,90 . CHANGE: CASHIER:059 CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00503-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 250 A St Spr Assessors Map#: 17033532 Lot: Block: Addition: Tax Lot #: 02700 Subdivision: Owner: Springfield Utility Board PO BOX 300 Phone Number: 541-744-3624 Scope Of Work: Electrical Only City/State/Zip: SPRINGFIELD, OR 97477 Valu,ou ;$0 .. ."" ("'4UI1"''' "lltiliW . .\ ~UUi I' \"'... nreOO J A.....rl~t ,-,... \ ,...... ~eo Ul" - ate ~'(J"'- \~;\~W lules ~~~~, . inose ~u~~~~ 95Z~~~~ Contractor 'loti\icatlorFf6aistJ'<ltlo~#'J .,9l:"njllStidllIDlate 952-0<:> . . cO\:li6's~ \ \:Inol ," C & SElectric Ine ..O~~"ou3.~ OiJtal~Note~A~vd&~i\icatiO" 541-741-2236 Po Box 1482, Springfield, OR 974~~"~~t~~~~~~:~go,,~~~~~~~). ,1'rt'\O~l.... ......'l':';.,.v ,-. Office Use ,.. Alteration Address: Contractor Type Electrical Contr Phone Quad Area: Land Use: # Of Buildings: #1 Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: Heat Source: Water Heater: Range: Sq. Footage: To request an inspection call the 24 hour recording at 726-376~,~1Vinsn!!9tions requ~~.Ill!;l,~WoreI'iI{)'6)R\< a.m. will be made the same working day, inspections requesteCll!'ftM .t"ti~fS\l.V,ilLbe=.7rra/j'e t~(~lfpVlihlPi working day. i\-llSPER llNOERi\-l\SP fOR ~. \'T\.\OR\ZEO ~ ^QIl.NOONEO ~ _Require~_lnspecttOtts' ENCl:.UVc, I- i Electrical COM~800~'(PER\OO. Rough Electrical - Prior to cover. ~N'i \ Final Electrical - When all electrical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . Job# 00-00503-01 I Paid On Receipt# Electrical 04/03/2000 1127 04/03/2000 1127 04/03/2000 1127 ~' Fee Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee . Total Electrical Grand Total Signature . Page 2 of 2 Value/Quantity 3 Date Fee Amount $39.00 $2.73 $1.17 $42.90 $42.90