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Home My WebLink AboutPermit Electrical 2000-10-19 Job# 00-01566-01 I I Page 1 of 2 TRANS#:01-0003532 DATE:OCT 19 2000 AMT RECD:2 $ 39.60 CHANGE: CASHIER:059 , ,- , COMMERCIAL PERMIT City Of Spnngfleld Community Services DIvIsion BUlldmg Safety Job Number 00-01566-01 225 North Fifth Street Spnngfield, OR 97477 Office 726-3759 Inspection Lme 726-3769 Location Of Proposed Site 1800 CENTENNIAL BLVD Spr Assessors Map# 00000000 Lot Btock Addition Tax Lot # 00000 SubdivIsion Owner Address Scope Of Work Hanger Prosthetics ~,,-\lO\)\l City/State/Zip leSpnngfield:\0R 97477 ,,'i>" OTeo.ul\':"~\,o(t1 Ne~\" -,'''''' oo~..ne :,#alu~ -I)JO t'-\ \ \;.\:,~\e'" 30~~:e "nOse ~~~Op..~~~:'les 'o~ IOllv' lO\\V""" o~\)\"'--ie:O''''- ~o"'" NO\IIICa.\9r:.Z'\)\)~-\)iO\a.I\\ co.? \ne \ele?\ ca.\\o'CI O~f\:.J ....'l () "'-'[)\" "tn'\: \ ,n "Oil (Registration #. '\IExplratlon Date 9\)' \"Iel,oll'- "or,u ,,'1r,lll SOnltrol Secunty 00 ".III'CIgt '\"IeOTe"",..'_"'" C<^ TIOI' ,,0 POBox 21009, Eugene. OR nll~,'oe \pl'l"'\'~ Phone Number 1800 Centennial Blvd SUite 487 Electncal Only Secunty system Contractor Type Electncal Contr Contractor Phone 541-461-5678 Office Use Quad Area Land Use # Of BUlldmgs # Of Units Zonmg Code Occupancy Group Constr Type Bedrooms Heat Sour~IJIIO?-\<. Water Heater Range ~ SQ.;f196~~e \" .\O~ __,..."",' ..'~''l\C \ _ .l\\"\ ;:) \'1. 1\\0 \ ,-- :ic;\'\!>.\'-\'-- \-\\51'\;'1"'1,.. Po To request an inspection call the 24 hour recording at 726-3769 \c..Au\!li's~kc\lons-reqJestedcbefQ7lf7100 """~ \ .;;)\\\....\J~ ~"\\lJ'...- a m will be made the same working day, inspections requested after~7i\QO.a m wllI.be"made the following working day p..1.)"'i\,\V :'ctDO?\O'; ,.,,,l;J\l;J\tl. .,/ol"..?-IOv Required Inspections a~ v' .\~.lb Electncal ~ I Low Voltage Construction Types Occupancy Groups # Of BUlldmgs # Of Bedrooms Handicap Access? 0 ,Area (Sq Feet) I Mam Accessory # Of Stones Current Units Census Code Does not apply Height (feet) Proposed Units Total Fee Paid On Recelpt# Electncal 10/19/2000 3532 Value/Quantity Fee Amount Restncted Energy $36 00 .~ Fee State Surcharge For Electncal Permit Electnc AdminIStrative Fee Total Electncal Grand Total Signature Job# 00-01566-01 Paid On Recelpt# Electncal 10/19/2000 3532 10/19/2000 3532 Page 2 of 2 Value/Quantity Date Fee Amount $252 $108 $39 60 $39 60 . zonmg and does not require specific land use approval Zomng e..0 .Date \71 - jt'l -;;J01! 97411 726\l.lJl17>6tlad Signature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE. 726-3759 1. LOCATION OF INST~LA^ION .f /'i(()() {'y./Yf:l-MUY1/l'lf/ #7 LEGAL DESCRIPTION ('/=1:Jrli3.;;..531..1 G39-GCJ.i /J;l,~B DESCRIlryION . ,*- ~J71/J11 >>V.fILlJ).f~ /J . PermIts are non-transferaole and explre If vork IS not started vlthln 180 days of Issuance or If vork IS suspended for 180 days 2 CONTRACTOR INSTALLATION ONLY Electncal Contractor Son It ro I Secur.ty Address P O. Box 21009 Cl ty Euuene Phone 461-5678 SUper\IS0r LIcense Number ExpHatl0n Date ELECTRICAL PERMIT APPLICATION ""Y Job Number OQ-OfS(6-0( 3. COMPLETE FEE SCHEDULE BELO\l A. Nev Resldentlal-Slngle or Multl-Famlly per dvelllng unlt. SerVlce Included. 1000 sq.ft. or less Each addltlonal 500 sq ft or portlon thereof Each Manuf'd Home or Modular Dvelllng SerVlce or Feeder B. SerVlces or Feeders Installatlon, AlteratIons or Reloca non Items Cost Sum 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 $ 85 00 $ 15 00 $ 40 00 $ 50 00 $ 60 00 $100 00 $130.00 $300 00 $ 40 00 C. Temporary Servlces or Feeders Installatlon, AlteratIon or RelocatIon Constr ContL Number 65149 Explranon Date 6-28-00 Slgnature of Supervlslng Electrlclan --:::?-/~- Ovners Name tiJtuZe ~U./l / Addres~ /i/./J1iM1/JuJ '#- ~ Clt~~'lrf} Phone 7fjtj-;)'j<(0 O\INER INSTALLATION The InstallatIon IS beIng made on propel", I ovn Vhlch IS not Intended for sale lease or rent Ovners SIgnature --------------------------------------- DATE RECEIPT # RECEIVED BY 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch CHCUl ts S 40 00 S 55 00 S 80 00 volts see "B" a~ Nev, Alteratlon or Extenslon Per Panel One CHCUl t Each Addltlonal Clrcult or vlth SerVlce or Feeder Permlt S 35 00 $ 2 00 not Included Mlscellaneous (Servlce/feeder -Each lnstallatlon Pump or lrrlgatlon Slgn/Outllne Llghtlng Llmlted Energy/Res Llmlted Energy/Comm E. 5 SUBTOTAL OF ABOVE ,% State Surcharge 3% Admlnlstratlve Fee TOTAL S 40 00 $ 40 00 S 20 00 S 36 00 jP ":-5'1- fr. ()