HomeMy WebLinkAboutPermit Electrical 2000-5-23
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I Job# 00-00779-01 I
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Page 1 of 2
TRANS#:01-0001848
DATE:MAY 23 2000
AMT RECD:2 $ 68.20
CHANGE:
CASHIER: 059
~
CITY OF SPRINGFIELD~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00779-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5280 Highbanks Rd Spr
Assessors Map#: 17022800
Lot: Block: Addition:
Tax Lot #: 00401
Subdivision:
Owner:
Phone Number:
Address:
City/StateJ:~!p:
Scope Of Work: Electrical Only
r"l
Alteration.-<- ';,' Ol,o Value: $0
...;9(...., u ~ :,oc() .
,..._ . '__ t'c., '(,),"':1, '$^.
-"'1 .....-/~ 'r! 'f ,. I ~ 'Jy I;. ~I
~'?}A ,/, i.... 10:11 IV) '-. "eO....:,
V@ . ,-- .,)s..", '''c c:
'I"r ~~... VIet: ). ih _ :f",Q,... '-j,
Registration,#, ~/Expiration,Date) I. ~~', Phone
.... "&Q"". (.'l....v/)~~,:H/U ::f/:':J vlt'/.'
Builders Electric Inc 4296 " ."""'0 ':1~/10/931 "I"~S&I/;5il1-485-0922
195 Madison St, Eugene, OR 97402-5030 ',.,o.'UII./'/f i< fl)" rl.~<?-O:;~'I;
:'.... III. _ +;.'/~ vi" L")
~ . 101' '-"/Q \.,) ()
Office Use 'C.> ,l/~cq,:'Je .'
/J . ~/n....
Quad Area: Land Use: 10 # Of Buildings:
# Of Units: Zoning ~O~r.s' ?tC'~. Occupancy Group:
Constr. Type: Bedrooms:.. ,o~'il . Heat Source:
Water Heater: Range:o;:;IyO-9L>~J-&N' Sq. Footage:
"'IlJIy "'~i1/" 'U I' '<L ~
To request an inspection call the 24 hour recordin9<~ .z26fl7.~9:lt{P'-!!dnSp~ctions requested before 7:00
a,m, will be made the same working day, inspections feO.uesfe'itAfler 7;i90~:I)),.will be made the following
working day, ""~-9/Q 04&4, 1&,.0$ l/y~VU
. ~ 'VOl">. 0'4?/). O.l'l.
ReqUired Inspections "~D '04 ."
Electrical I ~O-9 01'
Contractor
Contractor Type
Electrical Contr
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
[Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
,Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00779-01
Paid On Receipt#
I Electrical
OS/23/2000 1848
OS/23/2000 1848
OS/23/2000 1848
OS/23/2000 1848
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Page 2 of 2
Value/Quantity Fee Amount
I
1
6
$50.00
$12.00
$4.34
$1,86
$68.20
$68.20
Date
. .
ille 10\\OWi09d9 eS 001 leqUI!
and 0
zool09' Ii a.--
a9910val, ~
2001094>_ ;;l. "I - c-1l -
225 FIFTH STREET oale , d Si90alure ~KICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 MIllO"ze
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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City Job Number
06-00+-"PI~
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION Oi<t~LATIB-i
C'fI~.~n- J--I.' ;::s.:
~LOE~asP~O- OOL/O/
JOB DESCRIPTION' . /I
-1le.lLl 1 S(')~~Y'\~
(0 c.t~.
Permits are non-transferable 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 ContractorJ~,uJlrlp(S t:.lec.+n'C
Address 195 Mod ,:',OY\ st.
Ci ty E-lJ'6,P(\E' Phone 4-85-09:)').
Supervisor License Number "?J?CfCrS
Expiration Date \0 - 1-0 I
Constr Contr. Number 4?,c, to
Expiration Date \:A -10- (),~
Si~e of Supervising Electrician
IJ~JJ//4/ L
Owners Name~O ('CQ( h,
Address q /3;2 a Cc 'aJ~ Induot-ntJi
Ci ty 6LJ~ Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECE!'PT 11:
RECEIVED BY:
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -L---
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
'50&
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
D.
Branch Ci rcuits
volts
$ 40.00
$ 55.00
$ 80.00
see lTB"
above
"
w(f'l~' Alteration or Extension Per Panel
;Jt Circuit $ 35.00
Each Additional
Circuit or with Servic?_
or Feeder Permit 4J $ 2.00 ~.C(J
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
k.'d,. nTJ.
40.00
40.00
20.00
36.00