Loading...
HomeMy WebLinkAboutPermit Electrical 2001-3-29 . , .I . I Job# 01-00299-01 I . 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: .. / . 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 . Page 2 of2 ValuelQuantity Fee Amount 2 $37.00 $2.59 $1.11 $40.70 31l-~~;.70 Date --- . / 225 FIFTH STRIlET Date SPRINGFIELD, OREGON 97.47.7 , ' INSPECTION REQURST. 'N't/l'11ll' Signatu" OFFICE: 726-3759 1. LOCATION OF INSTALLAXION 3lfq/ It/u177l.J Sr s;.&.L4~J"L/J aL , LEGAL DESCRIPTION /:74'3:z.2...?~ ~ r JOB DESCRIPTION /Ion CII1t1{I,r( r:'nR {(,N. c'nKPJ', Permits are non-transferable and expire if work is not started wIthin 1BO days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor J/.I ~/_~t.TLiC. Add Less Po. &l<. Rl:f City fl,.8.4~ (Z q'1.lIPhone5'iJ'~J,q. 71. 95 Supervisor License Number J.2$.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 \ ~ 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 ~?"''' 2.",q ---.-LL.LI ....!fa... '1 0