HomeMy WebLinkAboutPermit Electrical 2000-10-18
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I Job# 00-01561-01 I
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TRANS#:01-0003515
DATE:OCT 18 2000
AMT RECD:1 $ 50.00
CHANGE:$ 6.00
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01561-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3350 Gateway St Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Tax Lot #: 01700
Subdivision:
Owner:
Eimers Restaurants Inc
Phone Number: 541-465-3966
Address: 363 High Stree N City/State/Zip: Eugene, OR 97401
O"""'~'
Scope Of Work: Electrical Only " Alteration Value: $0
Eimers -Sign electrical change H/s PERM"
~,,~. r,'ILJ.. .
COM~~Z~fo UND~~ ~:~q; /~rHE WOR
Contractor Type Contractor ANy 1800 E['Rllgistration'# C,Eicpiration'Date Phone
~ y - "'Of,^," . . '0 IVO~
Contractor - ROW Clark Signs PER/DO. 'UONEOFOR 503-781-6081
POBox 1113, SI. Helens, OR 97501
Office Use
Land/Use:
: I', ~
ZonrQ.gl~ode:" ,'.
B.-d - . rulc::u -... " -
e r,ooms:-' iaODrp' C"__
,.... ....'-4110'(; ..00\1' "'-\ou'c:.
Water Heater: ,~~~gei}5;::>:nn:nreJ rh,.,~~hf Oreonr. .'.' Sqo Footage:
-u. YOUm~:'-VU70fh -:'u1esdr ,."'"
To request an inspection call the 24 houvec6'id,!!%l!,(J}S;31.9,~..:~I)':inSR\3p.ti~);iequested before 7:00
a.m. will be made the same working day, inspections reqtiested-aftefl,7:00.a.m5wilhbe made the following
working day. - 'v' [hI" Ore~/vOte thf-[~;'~ rUle~ c,J
. ,.' Or, Uti/it etJnon
Required Inspection~'. At^~::;~d[I:;'
. /
I Electrical I
-After connection is made, but prior to energizing.
Quad Area:
# Of Units:
Constr. Type:
# Of Buildings:
Occupancy Group:
Heat Source:
Sign Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sqo Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
10/18/2000 3515
Value/Quantity
Fee Amount
Each Sign or Outline Lighting
1
$40.00
,
~.
.
r_
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-01561-01
Paid On Receipt#
Electrical
10/18/2000 3515
10/18/2000 3515
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Page 2 of2
Value/Quantity Fee Amount
$2.80
$1.20
$44.00
$44.00
Date
.-
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,.:..
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SP.FIELD
DEVELOPMENT SERVICES DEP"Ifl~ng project as submitted Ms the folio
and does not require specific land us
luning
o.\-ii")fOval. ~
Zoning
III -" ~'DO ,
-Ktl
225 FIFTH STREET [,vte
SPRINGFIELD, OREGON 97477 .. led Signature
INSPECTION REQUEST: 726_37b~ur,
OFFICE: 726-3759
1. LOCATION OF INSTALLATI9L"
335:::'0 AA-I-/:::'WrT,,!
LEGAL DESCRIFTION
/:riJ -::s -:;;< .:;);:)(1 ()/7fJ6
2. CONTRACTOR INSTALLATION ONLY
Elec trical Contrac tor {!J./tR..JGS16 AJS.
Address fD (SOX 11/3
Citys;;[1h.L.EWS Oe. floRF I bTJ3 72J -YJ'8J
Supervisor License Number ~2r~/~
DC-I. OJ
,
Constr Contro Number 04933
Expiration Date ~JI~;lo /
Sign~t~~~~trician.
Expiration Date
v
Owners Nam<MAt('~'5;_~~:-r
~ ~"l-G I,e.f'-
AddreJf!'jjnO sc.J m I-A-Ar'::-
~z:zs;-
City p(JmAtJI}J~_ 'Plione 03 t:JI-I-br"br:
,
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent;
Owners Signature:
DATE:
RECEIPT 1I:
RECEIVED BY:
. . "' . . . .". "..'..'.. ~'.' ..... -
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
;'~~~~oJCAL PERMIT APPLICATION
City Job NwnberOO- D 15& {-Of
3. COMPLETE FEE SCHEDULE BELOV
A..
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100000
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
JOB DESCRIPTION 1000 sq.ft. or less
'Ilt j!J27JDfI HI ~I(fI#I~ISF::II-IUJ I,JJIJ M.. I c-c.- Each addi tional. 500
rJ6AI ~1h1.rr/h""'FlU'-J=/.r;l'S'IN~()IJSM1Fr:rTWf"TI~ ft or portIon
oOf "'Permi"Ul ate''?ron:.:rramlferabTe-' and expire-W1i:IJ, -~tliereof
if work is not started within 180 days Ii~ Each Manuf'd Home or
of issuance or if work is suspended foriji)~~:!~ Modular Dwelling
180 days. ~ Service or Feeder
.0
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
$ 40.00
$ 55000
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00 _
Sign/Outline Lighting~ $ 40.00 ~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
,
do .00
-- ~~ lJ
JJ Zfif:':'-'~
,. 00
" Oregon Construction Contractors Board>> License Details
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Page 1 of I
OREGON CONTRACTOR BOARDS
Query Details
Details on Oregon License: 64933
NAME: DALE L CLARK
ADDRESS: PO BOX 1113 SAINT HELENS OR 97051-8113
WORK PHONE 503-397-3670
NUMBER:
LICENSE STATUS: Active
EXPIRATION DATE: 3/13/2001
DATE FIRST LICENSED: 3/13/1990
ENTITY TYPE: Individual
LICENSE CATEGORY: Specialty Contractor/All
EMPLOYER STATUS: NON-EXEMPT
BOND COMPANY' STAR INSURANCE
. COMPANY
BOND AMOUNT: $5,000
BOND EFFECTIVE TO: 3/13/2001
View Bond Historv
INSURANCE COMPANY' AMERICAN ECONOMY
'INSCO
INSURANCE AMOUNT: $1,000,000
INSURANCE CANCEL 4/8/2001
DATE:
View Insurance Historv
View Claims Historv
Vip.w X-RAfp.rF!nr.F!
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View Associated Names
View SIC Codes
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Last modified: October 07,2000
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~tate of Oreann Li::Jhilitv Statement
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10/18/2000