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HomeMy WebLinkAboutPermit Electrical 2000-6-2 . I Job# 00-00861-01 I . ~ Page 1 of 2 TRANS#:01-0001998 DATE:JUN 02 2000 AMT RECD:2 $ 39.60 CHANGE: CASHIER: 059 . CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00861-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3620 Gateway St Spr Assessors Map#: 17031533 Lot: Block: Addition: Tax Lot #: 00300 Subdivision: Owner: Ore90n State Police Departmet 3620 Gateway Phone Number: City/State/Zip: Springfield, OR Alteration Value: $0 Address: Scope Of Work: Electrical Only Contractor Type Electrical Contr Contractor Sonitrol Security P.O. Box 21009, Eugene, OR Registration # Expiration Date Phone 541-461-5678 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 aftl;lr.Z~O a.m. will be made the following working day. l'dU I ICE: R 'd . TH/SPFI'lMlTC:u^" ~x-._- equlre Inspections ',-- - " ,,"-.Ir I Me WURK Electrical ~~tOR'ZED UNDER THIS PERMIT IS NOT Low Voltage VVov ENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, F~~t) I Main: Accessory: # Of Stories: Height (feet): Current Units: roTTEI\ Tic:;-!:,~()~?~!d,,;~n}~: .:_~ _ .,,,., ,_ Census Code: ~~~J.1~91 ~,R111y adopted bv thF Or":,'. ',:' : "VUII,.:}llOn Center Thns~ ",,;. , Total: '.11 OA'i~52-001-001 0 :hrO/Jp' .11,.' Fee Paid On callin!Receipt#er. (Nl~I~~lqu'!.,:,.tity Ellrcti'ical:m ""'. VI "Y'j'" Utility I\!olific&l: 06/02/2000 '1'998'-" .""".,,:,,;,;o."'>.1A' 1 Fee Amount Restricted Energy $36.00 . Job# 00-00861-01 I Paid On Receipt# Electrical 06/02/2000 1998 06/02/2000 1998 - Fee State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature . Page 2 of2 Value/Quantity Fee Amount I $2.52 $1.08 $39.60 $39.60 Date . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCAT~O OF INSTALLATION .:%;U} . . , LEGAL DESCRIPTION /J JOB DESCIqiPTION' / (PJ/I.A?1 ~- V Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. ELECTRICAL PERMIT APPLICATION City Job Number no- 0 0 86l- 0 I 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling 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 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85,00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations E1ectric,,1 Contractor Son it rol Seeur i ty or Relocation: Address P.O. Box 21009 Ci ty Euuene Phone 461 - 5678 Supervisor License Number Expiration Date Constr Contr. Number 65149 Expiration Date 6-28-00 $ 50.00 S 60,00 $100,00 $130,00 S300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 Si~ature of Supervising Electrician ~~ n l, A..-11). '~D., Branch Circui ts Ovners Name Nlj''/A_ IM~~ o.t'oI. ~,,<<J() . - u 'Nev, Alteration Address City Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for salE. lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: volts S 40,00 S 55.00 S 80.00 see "Bit above or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2,00 E. Miscellaneous (Service/feeder not included; -Each installation Pump or irrigation S 40,00 Sign/Outline Lighting S 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm S 36,00 5. SUBTOTAL OF ABOVE ,% State Surcharge 3% Administrative Fee TOTAL ,3..t:;; b 0