HomeMy WebLinkAboutPermit Electrical 2000-3-28
"
The following project as submitted h~~ the fol
. nd does not require speCIfic land
7.Oning, a
approval.. Q,.,~
ZOning - ,
?~;l~-tfi)\
225 FIFTH STREET Date . ~ 1
SPRINGFIELD, 10REGON. 97477 i',Jctionzed Signature - ~.
INSPECTION REQUEST: 726-3769 . .
OFFICE: . 7~613759
~Ie.e S,A:-r"()N: ~ 3 3. COMPLETE FEE SCHEDULE BELOY
1. .. LO.CATT.,ON JlOLINSTALL.A .~fON. ,..rl-;r
,_ . {;;r'-"'5 C;<6 -5"'!'- A.' New Residential-Single or
,c~ ': ::-",7' ',_"__~_-'- _ ,,0<.,;- .._c:><... Multi-Family per C1welling uni t.
"--LEGAL DESCRIPTION Service Included:
\ -:rG~31p-C)." 0 o:=; 00
: '
JOB DESCRIPTION
.li .
~ 0-i\N '-.i-\ ~\ ~ i..k.\ T
Permits are non-transferable and expire
if work is n~t started within ,180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
~LECTRICAL rERMIT APPLICATION
City Jo~Number G 0~ 0 o l-/::r 0 ..- 0 1
I
1000 sq. ft. or le?s
Each additional 500
sq. ft or portioh
thereof
Each Manuf'd Home or
Modular Dwelling
. Ser~ice. or Feedet
B.
!~
Services or Feeders
Installatio~, Alterations
or Reloca tion:
Elec trical' Cqn trac tor V\Q.i:>\A~IO 0"'N"l'~1-S \N.t..
Address ~,c;B-,q\\\rJ'i ~c:-(~.
City E:l\..btNis... "~~'Phone 6ltll ~'d..~HI\I\
Supervisor. Li cense Number 2li't:Jt::'S
Expiration Date
/0 - I - 0 . I
Constr Contr.Number 7"70 z 3
Expiration Date lo/a'f/oo
I I
Signature of ,Supervising Electricia,n
.nA~LcJm~
o:i:s' Name ~ ~ Db.srtL
Address ddl5'~frn Shr u.f
Ci ty~; Q\0Lef Phone Id (p: 37()7)
O\lNER INSTALLATION
The installation is being made on
property I own 'whi~h is'not intended
for sale, lease or ren t. ,
Owners Signature:
---------------------------------------
DA'(E:
RECEIPT #:
RECEIVED BY:
~-)..<is- @ j
\ oS't>
W?
200 amps or less
201 amps to 400 a~ps
401 am~s to 600 amps
. 601 amps to 1000 hmps
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 amp~"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
'l .
D.
Branch Circuits
New, Alteration ot Extension ~erPanel
$ 35.00
On'e Circui t
Each Additional
Circuit or with Service
or Feeder Permi t.
,.
$ 2.00
Mi~cellaneous(Se~vice/feeder
. -Each installation
Pump or irrigatioh
Sign/Outline Lighking
Limited Energy/Res
Limited Energy/Comm'
E.
5. SUBTOTAL OF ABOVE
-:::}1JfI. State Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$
cv0
:,.c;, .
~,l.{'::>
ho.f)
?t5'.50
40.00
40.00
20.00
36.00
""
~..
r
Page-1 of 2
TRANS#:01-0001058
DATE:HAR 28 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER = 059
I ,Job# 00-00470-01 I
EliZZJ:~~A.llj'I~A.':rd
'I
PUBLIC PERMIT '
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00470-01
225 North Fifth Street
Springfield, OR 97>477 '
, Office: 726-3759
'I
Inspection Line: 726-3769
"
Location Of Proposed Site: 1225
Assessors Map#: 17023122
Lot: Block:
Centennial Blvd 'Spr
Owner:
Address:
city Of Springfield
1:
22,5 Fifth Street
Tax Lot #: 00700
Addition: Subdivision::
:1
Phone Number: 541-726-3700
City/State/Zip: Springfield,OR97477
Alteration Value: $0
11
Scope Of Work: EI,ectrical Only'
Contractor Type
Electrical Contr
Contractor '
Mcdiarmid Controls Inc
,I 85579 Highway 99 S, Eugene, OR
97405-9601
Registration # Expiration Date Phone
'I
77023 10/24/00 541-726-1677
i
NOTICE:
T~ 110 rCF(,vllT 07f\LL t:)U"'IHI= It-'THE WORK
, AUTHORIZED U~DE;IR THIS. PERMrris NOT
COMMENC~~~ ~~~~nNED;f'OR,
ANY 180 DAg~~W?ancy'"t~MliP. " _,~,'
HefaQltrce: ' -,
Sq. Footage:
Quad Area:
# Of Units:
Constr. Type:
Water Heater: "
Office Use
Land lJse:
Zoning Code:
Bedrooms: '
Range:
To request an inspection call the 24 hour.recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day. , " ' , ",
Required Inspections
Electrical
Rough Electrical
Final Electrical
Construction Types:
Occupancy Group$:
# Of Buildings: ,:
# Of Bedrooms:
'Handicap Access? D
-Area (Sq. Feet)
Main:
- Prior to cover.
- When all electrical work is cOr:tlpIEPJ!3.. { ;\...td.ure~v! l ,dW requires you 1\.
, ' follow rules adopted by theOregon Utility
i\Jotification Center. fhose rules ~re set forth
n OAR 952-001 :'0010 through OAR952-001-
0090. You rnay obtain copies of~he rules by
. calling the center. ~Note:.t~et~I~~ho~e,' ,
# Of Stones:l1umbertortheO~ghtl.Ofee,)~otlflcatlon "
Current Units: r^,.,',~"::- Prop'bseCl.'tfh1fs;
Census Code: Does not apply
Accessory:
Total:
Job# 00-00470-01
..
Fee
Paid On Receipt#
Electrical
03/28/2000 1058
03/28/2000 1058
03/28/2000 1058
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
1
Date
Fee Amount
$35.00
$2.45
$1.05
$38.50
$38.50