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HomeMy WebLinkAboutPermit Electrical 2000-5-23 . I Job# 00-00779-01 I . 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 . 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 .' 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