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HomeMy WebLinkAboutPermit Electrical 2000-10-18 if ii' i.... . I Job# 00-01561-01 I . Page 1 of2 TRANS#:01-0003515 DATE:OCT 18 2000 AMT RECD:1 $ 50.00 CHANGE:$ 6.00 CASHIER: 059 ~ 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 . Page 2 of2 Value/Quantity Fee Amount $2.80 $1.20 $44.00 $44.00 Date .- . ,.:.. . 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 . . . 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! Licenses View Associated Names View SIC Codes QUERY MENU CCB HOME Send mail to Wp.b Admini!'itrl'ltor with questions or comments about this web site. Last modified: October 07,2000 Ort~"()itkUlt <i> .~ ~tate of Oreann Li::Jhilitv Statement http://ccbed.ccb.state.or . us/B ill/regno222 .asp 10/18/2000