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Home My WebLink AboutPermit Correspondence 2000-5-5 ... . .y'"""-' 'J ---------------------------------------- -------..--- ------------ -------- ---- ----- CITY OF SPRINGFIELO 225 FIFTH STREET SPRINGFIELD, OR 97477 (54\)726-3753 --- ----_.~- ------------------ ------------ --------- - --------------._---- ---- ------- WELCOME TO DEVELOPMENT SERVICES AHD PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:D1-0001542 C:MAY 05 2000 CASHIER 10:042 10:09 am A:MAY 05 2000 ---------------------------------------- ---------------------------------------- 1004 ELECTRICAL PERMIT $SO.OO JOS#:99-01723-01 1099 STATE SURCHARGE(7%) $5.60 JOB":99-01723-01 109S ADMIN FEE(3%) $2,40 JOB":S9-01723'Ol TOTAL DUE RECEIVED FROM: SCOFIELD ELECTRIC $88.00 CASH: $100,00 TOTAL TENDERED $100.00 CHANGE DUE $12,00 ---------------------------------------- ---------------------------------------- *Pay Name ;SCOFIELD ELECTRIC *Mail Addr :PO BOX 2765 *Cty/St/Z :EUGENE OR 974020307 *Site Addr :995 S A STREET ---------------------------------------- ---------------------------------------- _____________________________ ___ -_-__-0_- ------------------..------------ ..-----.--- THANK VOU!!!!!! ------------. .------_. ------ --- . ._------- ---------------------------------------- ___ aq;;r OI? 2Z-01 .rIlNct"~I4LQ . " The following project as submitted has the followmg ':~~. . 225 """'....... zoning, and does not reqUire specific land usELEe CTRICAL n-u..... ';:'PLI""nON ...,r u. "''''''''''.L roval L"r.An..L.L AS; .... SPRINGFIELD, OREGON 974ffP qq of INSPECTION REQUEST: 726-3769 Zon,": Ci 0/ Job N~ber . --:- 7 2.5 -() ( OFFICE: 726-3759 Date Autnorized Signature 1. LOCAnON OF INSTALLArION qqt:;' 7, A. ~".r LEGAL DESCRIPTION 17 n ~ ':J,<? 4/ tn;107> JOB DESCRIPTION ~ ~.ni.J:..-t. ~ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for '180 days. 2. CONTRACTOR INSTALLATIOn OIlLY Electrical Contractor SCOFIELD ELECTRIC Address PO BOX 2765 Ci ty EUGENE. OR Phone 686-8612 Supervisor License Number 508-5 Expiration Date 10/01/2001 Constr Contr. Number 38702 12/2.1/01 . Expiration Date Signature of Superv' (fZL/~ O'Jners Name ~,~ ( v1.b-1.L.P-- \ Address qq ~ S. A-, <;;;kur Ci ty S~Phone q ~<6 -lfJ..crV OllNER INSTALLATION The installation is being made on property I ovn vhich is not intended (;i;O:~9lJ(Jle, lease or rent. OO'(;"!: $:39N\JH3 OO'OCD.inteG~t.jlk-e: 0006 ~O A\JW:31\JO Oi;S"!:OOO-"!:O:#SN~~l DATE:. RECllIP'r t: RE...r..Lvtou BY: .. CQlIHhEm FEE SCHEDULE BELOl1 A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 S 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 40Q amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only ~ $ 50.00 $ 60.00 $100,00 $130.00 S300.0Q $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci.rcu it Each Additional Circuit or vith Service or Feeder Permit $ 35.00 S 2: pO E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting _ Limited Energy/Res Limited Energy/Comm I 5. SUBTOTAL OF ABOVE /"Z Stata Surcharge 17. City , i TOTAL $ 40.00 S 40.00 S 20,00 S 36.00 .i.~,' <;,It'' ;>.., ,,~ j. '8~, -- ./~ . . I Job# 99-01723-02 I Page 1012 TRANS#:01-0001385 DATE:APR 27 2000 AMT RECD:2 $ 110.00 CHANGE: CASHIER: 059 ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01723-02 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 995 S A St W Spr Assessors Map#: 17033500 Lot: Block: Addition: Owner: Address: Tax Lot #: 00100 Subdivision: Bob Thomas c/o 995 South A Street #W Phone Number: City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Scope Of Work: Mechanical ~..J IJ,)\\U This is a copy with a new Sequence Number ., . '. ~~:, 10\ 1~0i.,,",,~ .. "" '-eIU - <;)\.\\v"". flU' Contractor 'v v ~~Regisi?~ionWie~ExPii'atign'Date \\\\o\~ '.".'~ ,,=\\0\'3) :e'o.o v..... "r:h'O"- 0\ Mcdiarmid Controls Inc O\\:e'J'~^'a"\770230'J\I\',,".l1.0/24'/2000\\ . .' II"'" ,,\31" \,Iv \.IV'.'- 0\ 85579 Highway 99 S, Eugene, OR\O ) 131.\\ \0 ~\\Ol\.\\ (j . lel\leCl~e\\I) 1'1'-0\\. 97405-9601 . C\ "~~C,fl 'd'l:!~~\I' as?::'~a\009~ ~,",' , . ,-:" I \ ....,- S GI'- au~' ,.....' Office(Use uu';":':'("'\..- l~ I " \'\'\{\ , I'''''''' Land Use: " . ,('~ -::> # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat Source: ~,N Range: Sq.F~~:~ ^ ,,,, -' ",,,,ru 'GU'u-" '.)~:I'''' ~ To request an inspection call the 24 hour recording at 726-3769. All inspections @~~1iW~@J\1i:{)61 a,m. will be made the same working day, inspections requested after 7:~~d'J1lI\l,\)jtl5r.ffi~':\hll ~.g~ working day. 'OO~G?i lS\\-I~'03 \-IS))'I'\'O O~ ~\~'03o 1'1/'::I,""i'\'II '':1~\~ Required Inspee1,iif'rIS ~\ :;1J,- I q\-l~ Electrical,,\-\OI\j'1 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D iArea (Sq. Feet) I Main: Accessory: Contractor Type Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Rough Electrical Final Electrical Phone 541-726-1677 - Prior to cover, -When all electrical work is complete, # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: .:,,- . . Page 2 of 2 Job# 99-01723-02 Fee Paid On Receipt# Electrical 04/27/2000 1385 04/27/2000 1385 04/27/2000 1385 1 Value/Quantity Permanent: 401 to 600 Amps State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and that the project address is readable from the street. Signature Date Fee Amount $100.00 $7,00 $3.00 $110.00 $110.00 .r" . Date '\:'1lll <?; Zoninr rr~ dfogl/~~ 'iA,e:J Authorized SignaturE" 225 FIFTH STREET SPRINGFIELD, OREGON.97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 'l'JS' s,o A<;T"r~~-r LEGAL DESCRIPTION /\,1 1-::;"11"?.~ ~nn ootu., JOB, DES'J'IlJION, /j _ . .5~ -r-"LlV M~rA *~ Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elec trical Con trac tor .JZ1!..."D,.4 ,{..-.I) f.r,~f/.>L> Address 85>579 1./.11 9<}.9'" I City_ Frul,c-A.,C Phone 72 Co-Ie. 77 . i Supervisor License Number 2. Boo s , Expiration Date 119- I -0 I Constr Contr. Number 7702.-'3 Expiration Date /O-2<-1-od Signature of Supervising Electrician _OAAJ4)n/~ I Ovners Name Address City Phone OI/NER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent, Ovners Signature: --------------------------------------- DATE: l\..e""r..J.r 1 if: RECEIVED BY: 3. ELECTRICAL PERMIT APPLICATION City Job N~berJJ- 019-;). 3-().d. COMPLETE FEE SCHEDULE BELOI/ A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dve11ing Service or Feeder $ 85.00 $ 15.00 . $ 40. 00 .B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 . 201 amps to 400 amps $ 60.00 401 amps to 600 amps K $100.00 /':::>0. 0:;1 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits Nev, Alteration' or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 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 /OC/- :J% State Surcharge ~_~ 3% Administrative Fee ~,O(!) TOTAL _1..10. uc.