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HomeMy WebLinkAboutPermit Electrical 2001-9-13 " .. . I Job# 01-00991-01 I . Page 1 of 2 SPRINGFIELD ~ CITY OF SPRINGFIELD, OREGON PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00991-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1 Gateway St Spr Assessors Map#: 00000000 Lot: Block: Addition: Tax Lot #: 0000 Subdivision: Owner: CITY OF SPRINGFIELD 225 FIFTH ST Phone Number: 541-726-3668 City/State/Zip: SPFlD, OR 97477 New Value: $0 Address: Scope Of Work: Electrical Only Traffic Signal at the Northwest Intersection of Gateway and GameFarm Road, Contractor Type Electrical Contr Contractor Lantz Electric Inc 4131 E Street, Springfield, OR 97478 Registration # 84679 Expiration Date 7/14/02 Phone 541-726-0659 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: 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 Electrical Service Final Electrical - Prior to cover. -Must be approved to obtain permanent power. - When all electrical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: " . . Fee Minimum Electrical Permit Fee Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Job# 01-00991-01 Paid On Receipt# Electrical 09/13/2001 6684 09/13/2001 6684 09/13/2001 6684 09/13/2001 6684 09/13/2001 6684 . Page 2 of2 Value/Quantity Fee Amount 1 1 $.00 $63.00 $3.00 $4.62 $5,28 $75.90 ~ ~ $75.90 9(3(')/ , Date . ELECTRIC.ERMIT APPLICATION ",,"" City Job Number rll no Ct qR~N~01.-0006684 uH'TE : SE~' 13 2001 3, COMPLETE FEE SCHEDULE BELOW AMT RECD: 2 $ 75.90 .1 L~ATION OF INSTALLATION CHANGE: ...-G:\ H lJ.fll,1 ~lf2. EFi\ A. New Residential-Single or CASHIER: 001 I . Multi-Family per dwelling unit. LEGAl< DESCRIPTION ,Service Included: /...1/,\ ('~LQb Ls'J...'ihl.J,\AU, ~~FN2-I'^-,.GO JOB DESCRIPTION , 1000 sq.ft. or less --rp f+. PF l e~ ~ \il, n Q .Q . Each additional 500 sq. ft or portion 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 . Items Cost Sum $106.00 PermitS~.rrl;'I\on-transrerable and expire ifwork.is not started,within 180 days f'.." ,'", "d 'r"I-<I::.,-I. t:xP,Qo; 'a' rHE WORK o Issuance or I WOIK lS suspenue IvT ~8(joays:~:::ED UNDER THIS PERMIT IS NOT em,in!. .. .q'n ('I8'~ ^8^~'D""C[) F,0D 2. cONTRACTOR INST;b;Lt'ATION oNLY P~IY 1F i' I,\, Q::RI"n Electrical Contractor lA,,+z.EL~c... thereof $ 19,00 Each Manufd Home or Modular Dwelling Service or Feeder $ 50,00 Address 1..\ \ ~ I E S Ttz...u.:::r City ~n'1 ~elJphone I 'Z /" - ~S-~ Supervisor License Number 3 l..{q Z. <::. Expiration Date I oLLI 0 I B. Services qr..F~~er~IO \ :'. Installation, Alterations or Rei~c~ti~~.;')It.:;.':' c..u..)~."'~L' '.~' i '~.' l~' "V.i ll...t.!''';~l C2'1~~I" "fila..:"" "o"~ . 2' oiro' OMi b"~I,-I:O !-0u'/~' ,:,,~ 'lih (') :.', $ 63 00 id2 (S'() amps or ess I _.'" . . _ ::::>. II'JtiL y..,'J......~\1rh\!"".1...., . - 201 amjJsto,400'amps"" ..:"::lE ~$,75.00' 401 r.f"""t" '6"0.0"'n nr ""Q" l~~ 'n'- '$12500'- amp's 0 amps', L "~ '.....1..' . 60P!.'IIIp'11&ffOOO'iimpS'; -,' 1~,;l;" ''''i,$l(;~.OO = Over 1000\;'mpslv'olts'-c" .' '," $375.00 Reconnect Only - $ 50,00- " Constr ContL Number R4 &''7 9 ---, C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 40 I to 600 amps Over 600 amps or 1000 volts see "B" above Owners Name ' \ OJ:' ~ ' d New, Alteration or Extension Per Panel 0TtL \ 7/,(/ /07- , $50,00 $69.00 $100.00 Expiration Date Signature of Supcrvising Electrician Addres~ 5 5'tt Ci~~01-t 1(tJtil0~one 7l.J 0-3753 o ERINSTALLATI0N One Circuit $43,00 Each Additional Circuit or with Service or Feeder Pennit --1. $ 3.00 3.CiU Owners Signature: E. Misccllaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 Sign/Outline Lightinl! Limited EnergylRes Limited Energy/Comm The installation is being made on properly I own which is not intended for sale, lease or rent. TOTAL $50.00 $25.00 $45,00 d, 0(p_OD G'J....Y! ,LJ . (p"l.. , J\:'S'1o 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee " .. ~. ........,..-~..............