HomeMy WebLinkAboutPermit Electrical 2001-3-29
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I Job# 01-00299-01 I
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Page 1 of 2
TRANS#:01-0004790
DATE: 11AR 29 2001
AMT RECD:2 $ 40,70
CHANGE:
CASHIER: 004
SPRINGFIELD
~
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00299-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3491 Hutton St Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Tax Lot #: 00804
Subdivision:
Owner:
Jack In The Box
4500 SW Kruse Way, #270
Phone Number: 503-636-4565
City/State/Zip: Lake Oswego, OR 97035
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
Add electrical circuits for relocated rice cookers.
Contractor Type
Electrical Contr
Contractor
J & J Electric Inc
Po Box 813, Albany, OR 97321-028B
Registration #
322
Expiration Date
4/27/00
Phone
541-928-8488
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
iArea (Sq, Feet:
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Gr~\, ~gJ
Signature
I
Job# 01-00299-01 I
Paid On Receipt#
I" Electrical
03/29/2001 004790
03/29/2001 004790
03/29/2001 004790
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Page 2 of2
ValuelQuantity Fee Amount
2 $37.00
$2.59
$1.11
$40.70
31l-~~;.70
Date
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225 FIFTH STRIlET Date
SPRINGFIELD, OREGON 97.47.7 , '
INSPECTION REQURST. 'N't/l'11ll' Signatu"
OFFICE: 726-3759
1. LOCATION OF INSTALLAXION
3lfq/ It/u177l.J Sr s;.&.L4~J"L/J aL
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LEGAL DESCRIPTION
/:74'3:z.2...?~ ~ r
JOB DESCRIPTION
/Ion CII1t1{I,r( r:'nR {(,N. c'nKPJ',
Permits are non-transferable and expire
if work is not started wIthin 1BO days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor J/.I ~/_~t.TLiC.
Add Less Po. &l<. Rl:f
City fl,.8.4~ (Z q'1.lIPhone5'iJ'~J,q. 71. 95
Supervisor License Number J.2$.2.5 '
Expiration Date /() - 0/ -0/
Constr Contr. Number ~./.l,
Expiration Date 0</-.:17-0:2
Signature of,sxperViSlng Electrician
.."/~j/~
Owner~ Name.:rbev< IAi 71It: g.,,,,
Address_~5~ 5~"SE. tJ-4f Sr.<':; 7-2-
Ci ty L4XlOUJ&n at Phone 503-6.5'i-t"s",-,
. 97t>$.
01lNER INSTALLATION
The installation is baing made 011
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RE".w.YC 11:
~OO:~3IHS~CEIVED BY:
: 39NtlH8
OL'O~ $ G:G83~ lWtl
l:OOG 6G ~t1W: 31tlG
06L~OOO-l:O:#SNtI~1
225 FIFTH STREET
i;PRINGFIELD, OR 97411
(541) 126.3153
FAX (541) 126.3689
, Eyj,CTRICAL l'KRIIIT APPLICATION
:::'y Job Numberp/_A..."",,~.r..o/
3'. COMPLETE FEE SCHIillULE Dr;LOlI
(11 ~
1,/ IJIl -D \
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A. New Residential-Single Or
Hul ti-Family per dwelling uni t.
Service Included:
Items Cost
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
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 010 Relocation
200 amps
201 amps
Over 401
Over 600
or lass
to 400 amps
to 600 amps
amps or 100u
$ 40.00
$ 55.00
$ 80.00
volts see uDIt above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit --1- S 35.DO ~~oo
Each Addi tional
Circuit or wIth Service
or Feeder Permi tIS 2.00 ll.OO
E.
Miscell~leous (SerVice/feeder
-Each ins talla tion
Pump or irLigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
7%. State Surcharge
3% Administrative Fee
TOTAL
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