HomeMy WebLinkAboutPermit Electrical 2000-7-28
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The following project 85 submitted has the following
zonmg and does not require specific land use
approval
225 FIFTH STREET Zonin
SPRINGFIELD, OREGON 3,7477____g
INSPECTION REQUEST: '~6-J'v,
OFFICE: 726-3759 Autno"zeo Slgnatur.
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1. LOCATION OF INSTALLATION[)
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'j~ DESCRIPTION
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JOB DESCRIPTfON
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number ~ ~~::z.92
GUMl:'w:.U'; FEE SCHEDULE BELOIl
3.
'~2.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15,.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation, Alterations
Electrical Contractor~r Gu.. Ao~'4-frd"or Relocation:
1j. <t- S~ev J,. -rW~.J.
Address } 010 /(/11 \l"" 1ft ,lOO amps or less
. (~/' 201 amps to 400 amps
Ci ty r- u. ~",J ,Phone..1.Yr-'2(J.Lb 401 amps to. 600 amps
0/ ' 601 amps to 1000 amps
Supervisor License Number I' \ J L f= Over 1000 amps/volts
. Reconnect Only
Expiration Date
Signature of Supervising Electrician
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The installation is being made on
property I own which is not intended
for sale, lease or rent.
ow;rs Sign~Ur) ~ ~
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DATE: _ ?,7~..e:>o
RECEIPT 11: ~~
RECEIVED BY: P'~
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$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
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- - D. Branch Circui ts
Owners Nam}-it'.:~;! 4'-1.."'1~J,. U!.L!J.Ac,.,) fNew, Al tera tion or Extension Per panel"
Address -/:..a .___~t'w p}.) J-t"
One Circuit $ 35.00
Ci ty )'1.-1/1 ,Ad) Phone.b 8 ~- ~5~V E~~~c~1~i ~~o~~~h Service
01lNER INSTALLATION or Feeder Permit
Expiration Date \o//'H 1J.(:-)~"2-
. ( '
Constr Contr. Number l~ ~~
J 0/ J /() 0
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
-,% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
S 36.00
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/J!1$2.
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I Job# 00-00242-02 I
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Page 1 of2
TRANS#:01-0002703
DA TE : JUL 28 2000
AMT RECD:l $ 40.00
CHANGE:$ 0.40
CASHIER:004
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00242'02
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 300 W Fairview Dr Spr
Assessors Map#: 17032741
Lot: Block: Addition:
Tax Lot #: 00101
Subdivision:
Owner:
Address:
Housing Authority of Lane County
300 West Fairview Dr
Phone Number: 541-682-4090
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Warehouse
security system
for new shops and existing building
Contractor Type
. Electrical Contr
Contractor
RFI Communications & Securit
1010 Tyinn Street, Unit 6, Eugene, OR
97402
Registration # Expiration Date
Phone
541-345-6816
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.
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:
Fee
Paid On Receipt#
Electrical
07/28/2000 0002703
07/28/2000 0002703
07/28/2000 0002703
Value/Quantity
Fee Amount
Restricted Energy
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
1
$36.00
$2.52
$1.08
$39.60
$39.60
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I Job# 00-00242-02 I . Page 2 of 2
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, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
duri~rJ_~~/ 7~f/oc)
Signature Date (