HomeMy WebLinkAboutPermit Electrical 2001-5-16
,
. -(~
The tollowing project as submitted has t e 0 owmg
zoning. and does not require specific land use
approval
Zqning
'.
... '.
.:'i'"
TRANS~:01-0005395
tf! DATE:MAY 16 2001
J:' /' /f&,. 0/ i AMT RECD:2 $ 7t.50
~ --- CHANGE:
c;k,uJ ELECTRICAL PERMIT APPLICATION CASHIER:001
City Job Number 0/ 00491 CJ!
Date
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1J1~~'fed Signeturo
726-3769
~&)~o~~~yO'!5lr~~J A.
LEGAL DESCRIPTION "-./.,.-, )
IlbS "').'}- kl\ o tJ'1I v -
JOB DF;SCRIPTION ::::ear.s st~
7?e~/- ~J k"-rrdo<,/ ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or i~ work is suspended for
180 days.
~I(,\TI('E' .
2. CONTRl\:CTOR INSTALLATION ONLY ,B.
THIS PF.RMIT SHALL EXPIRE IF THE WORK
EleA\frt,'(J~ilE~f\5~f'>EJfE'-I~~~l'r ~e91!ric
AddOO:SMEt-.'?<iiD li\~".!R\lIB.Ml410~ED FOR
Ci t/\~llu1~n~AY PERIOD Phonef.5Al.1 hRR-h171
Supervisor License Number 771q~
Expiration Date 10/01/01
Constr Contr. Number
26-34C
Expiration Date
10-01-01
Signature of Supervising Electrician
0,' 'C~.
" Natnan t'nf~ps
Ow~ers Na~e~1'S '1?('lt"".hlAC'l-c:j... ,
Addressgj()O N ,-/u~ti..r:J Ave:.
Ci ty Om t::iPhone
~t:?0--5-
O\INER I STALLA tOrY
The installation is being made on
property I own which is not. intended
for sale, lease or rent.
owners Signature:
DATE~~-~/,~-~--2);r-----------------.
RECEIPT 11: .c:.;,?q~;--
RECEIVED BY:p/).1 ncu>hU dD
3. COMPLETE FEE SCHEDULE BELO\l
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'1d Home. or
Modular 'Dwelling' . 0.11 ,0
Service oN-3r"ed~EI.ri:W reqUIreS Y ~iI&,9' 00
PirrENi\O '.~ -l~d bY t\1e ult::\;~n set IorIO
seF,)'(,ice~\f?r:.(Fte'~.Q,~F~S~e r~,\a~ are952_001-
Ins.ta-HatFo, nn./ eA1,telCa Hons'\R \ s tv
l"....,L..'- "flU1vU"-~'" '" rue
or ReJ:oca"t-i1on-:. 'es 01 tIle
In U'" y' 'OU may obtaIn COP!. t\1e telep\1One
^()90. ,. -'^r tNote. "$"5"0;\(1
200 amjlsg or--) r....ess . ,,,m"/ Notl -< .00'
201 li\1ips~rt9r t!l00Jramp~ ^~^_?"'44),S 60.00
401(1"n.u~' 600 - ",...- -- $100 00
amjls 620'.,' ,amps - .
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
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-vorts
$ 40.00
$ 55.00
$ 80.00
see "Btt above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circui t J
Each Additional
Circuit or with Serv~~
'or Feeder Permit ~
$ 35.00 150D
$ 2.00 .qt),OO
E.
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
oS 40.00
$ 20.00
$ 36.00
65'OD
" 0 ,..:;, V
/ "7/,60
.-
l
,
,
.
Job# 01-00499-01
.
Page 1 of2
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00499-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3030 Gateway St Spr
Assessors Map#: 17032200
Lot: Block: Addition:
Tax Lot #: 02200
Subdivision:
Owner:
Address:
Sears
2100 North Tustin Avenue
Phone Number:
City/State/Zip: Tustin, OR 92865
Scope Of Work: Electrical Only
New
Value: $0
Contractor Type
Electrical Contr
Contractor
Phillips Electric
1298 Bethel Dr, Eugene, OR 97402
Registration # Expiration Date
Phone
541-688-6121
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 I
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
Grand Total
rlF~. u:\ \(Z(,I1rl"
SignatureC
Job# 01-00499-01 I
Paid On Receipt#
Electrical
05/16/2001 5395
05/16/2001 5395
05/16/2001 5395
1
.
Page 2 of2
Value/Quantity
Fee Amount
$65.00
$4.55
$1.95
$71.50
I ! $71.50
Silo 0)
,
Date
16