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