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Home My WebLink AboutPermit Electrical 2000-2-23 '1 , , ,'I .. ,\ ,. '. ., I Job# 00-00304-01 I Page 1 of2 TRANSU:Ol-0000687 DATE:FEB 23 2000 AMT RECD:2 $ 42.90 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00304-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 265 Main St Spr Assessors Map#: 17033532 Lot: Block: Addition: Tax Lot #: 05200 Subdivision: '* Owner: Phone Number: City/StatelZip: Alteration Value: $0 Address: Scope Of Work: Electrical Only 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 Final Electrical - Prior to cover. -When all electrical work is complete. 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 02123/2000 687 02/23/2000 . 687 Value/Quantity I Fee Amount Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit 3 $39.00 $2.73 " . . r /' Job# 00-00304-01 I Paid On Receipt# Electrical 02/23/2000 687 Fee Electric Administrative Fee Total Electrical Grand Total \.Ll-<V>....) to",; "L- Signature . Page 2 of2 Value/Quantity Fee Amount r-c\,., Date $1.17 $42.90 $42.90 ,9.'2" 2fJOO rl . .' SPtlGFIELD dnas\ne e \ as suorn\\\9 n9C\\\C \3,,0 US O'\eO '"e s. \n9 ?' \ ,e<\U '{ne \0\\0'" doeS nO zon\n9' ~nd ~AL P IT APPLICATION . . a??,0"a20nin;~,?4'l' ~r 0'0 ~ OQly-{~l ':: oa\e '1... _de - ct"'ign<\l.VnrLroLE FEE SCHEDULE BELOY p..utnofi1.9 . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCAb;WN OF INFALLA1ION ,J('65 U/a;/} 51ree LEGAL DESCRIPTION 170'3 Y;?2-- () ')?crt) JOB DESCRIPTION. / f ~ II :5/'1n CJu+/e.:s p~mits ~e ~on-t~n:ferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor~lnc. Address 1d-.t9f;J Be.it..1 Dy;ve City Eu..C1Q V\P Phone 0X'R-t,/;)( supervist License Number c2115.s Expiration Date IOIOI/Of Constr Contr. Number~O - Q9c 10/01/00 Expiration Date Signature of Supervising Electrician .L#. . 'U . Owners Name 7aco I /~t"'. Address :? b '5 /Jh //1 SfrC':.e.;f-. Ci ty~' ri ~Id...Phone 7'1t .~ q / I O~. n1kALLATION . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 1I: RECEIVED BY: Cl.~~3 - t1> t:w W~l Items Sum Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd ~ome,or ModularDllelling Service or Feeder $ 85.00 $ 15.00 .$ 40.00 .B. Services or Feeders Installation, Alterations or Relocation: 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "BIf above. D. Branch Circuits " New, Alteration or Extension Per Panel / ~C.OO One Circui t $ 35.00 .:.,t;.J, Each Additional Circuit or lIith Service or Feeder Permit ;2 $ 2.00 t/. 00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $20.00 $ 36.00 3 q.OO ..Q// .3 J/~'.~ .' " TRANS#,: 01-0000685 DATE:FEB 23 2000 AMT RECD:2 $ 42.90 The following project es submitted hes the following CHANGE: zOning. end does not reqUire specific lend use ELECTRICAL PERMIT APPLICATI&@SHIER:059 9 71:9~rovel ) 726_376~oning ci ty Job Number QWG.;:ll1 l-'-O 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Oete 1. LOCATION OF INSTAL~d Signeture L4/ /1/, t, ~-+- { Multi-Family ,per dvelling unit. LEGAL lj.~r:;.-P"T1 0<' , <!; 2 Lj -OO5{)Q Service Included: Items Cost JOB DES~PTION I 1000 sq.ft. or less $ 85.00 '2, h.........,;-;Y"\ Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dvelling Service or Feeder 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. (lv-lit) 2. CONTRACTOR INSTALLATION ONLY .1 I Electrical Contractor -r. ~ {/I'/+-rjrITYlC. Address 40(, e; w. U -J::.h :#> I ~ City ;:.~. Phone c''675 776 Supervisor License Number 3..i:...72 <: Expiration Date I%.h I Constr Contr.Number_'OI.-/4:l- '1 Expiration Date ~~~t1 Ovners , Signatur f;:tu~ising Electrician r?\, ~ -- . ~ (.",......A... r::;.,..... Address Ci ty , Phone~ :.Z:; q~, OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for s'ale. lease or ren t . . Ovners Signature: ,DATE: RECEIPT II: RECEIVED BY: 3. COHPLE~ FEE SCHEDULE BELOV A. Nev Residential-Single or ,B. Services or Feeders Installation, Alterations or Relocation: , 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect'On1y Sum S 15.00 S 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " Ne~, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE :rr. State Surcharge 37. Administrative Fee TOTAL One ~Circui t Each Additional Citcuit or vith Service or', Feeder Permi t ') _ $ I , E.' MisCellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm "2"- $ 35.00 :n 2.00 ~--- not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ''1.- "}.3J ./ ~~r1 '~