HomeMy WebLinkAboutPermit Electrical 2000-6-20
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-. . I Job# 00-00979-01 I.
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Page 1 of2
TRANS~:Ol-0002248
DATE:JUN 20 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER:061
SPRINGFIELD
~.
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00979-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 770 Harlow Rd Spr
Assessors Map#: 17032234
Lot: Block: Addition:
Tax Lot #: 02800
Subdivision:
Owner:
Address:
spring valley assisted living
770 harlow rd
Phone Number: 541-744-2116
City/State/Zip: springfield, OR 97477
New Value: $0
Scope Of Work: Electrical Only
This is a copy with a new Application Number
Contractor Type
Electrical Contr
Contractor
Jb Electric Inc
4065 W 11Th #18. Eugene, OR 97402
Registration # Expiration Date
104929 3/14/2004
Phone
541-687-5770
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 in~Il~!q@[~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m..will,be.made the:following1EWORK
. THISPI::HM I ;:'M/'\LL'-^' "'~,, .
working day. TIS NOT
AUTHORIZED UNDER THIS PERMI
Required In.spections COMMENCED OR 1::; I\tl/'\"uv";:~ ;-;:::-:
Electncal I ANY 180 DAY PERIOD.
Rough Electrical.
Final Electrical
- Prior to cover.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. r" II
Main: Accessory:
, "" . ,)"'" ,c.: ",.;;qUIIO.~ iJl.o ~
., ,",,,..,-....,,, ,.. Utilil.
# Of Stories: lo.tl.~i9I:!tt(feetl:pted bV lhe OrBp~n _." f(l' . t
. . . .' _,... ..... " r10';'= rllle~ . r . ""'
Current Units: l(lt'P'~P?~ed~~_n:I~:,. _ -.': ~., d:''; :",;:-UC
Census Code: Does not apply:lAh 8..~-\I\ll 'nJt.'n -O"IBc o( ::1: 1I1ns b:
)090. You mall o. .21 " ~~. .., "'8
I . 'h ~opr'''v !""i,,:'+" :tl~. . t" ,J..
Total: ca\lh'r.~ i'ol:-r t'h'-;' O"-~Q~n Utilir', Noliticatior
....1Im Ar ~ I .. . '.\
,... .......~.
,
I
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Job# 00-00979-01 I
Paid On Receipt#
Electrical
06/20/2000 2248
06/20/2000 2248
06/20/2000 2248
Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
.
Page 2 of 2
Value/Quantity
1
Date
Fee Amount
$35.00
$2.45
$1.05
$3B.50
$38.50
The 1ol1owing prolee. uire speci1iC tand use
d does nOl req
zorllng. an ^ IV .
a~pTova\. ~
Zoning - ~,
(;,~:#)~ ..""
Date- '.~
225 FIFTH STREET .. zer! Signature -
SPRINGFIELD. OREGONu~~~11
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
7_::Z/) /+a r 10 IA/ Rd.
LEGAL D1:;SCRIPTIpN
1- h "-h VI" [,..,
JOB DESCRIPTION
41/.4-r
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days. 00 "55'1
2. CONTRACTOR INSTALLATION ONLY
! .
Electrical Contractor TO If, ~. ~
. O. ,.,.... T/'" (' t""'c .
Address ---1d.JLf c. I ~Ul th 11'-1 X-
City J"", Phone ')(7')770
Supervisor License Number ~s(7:1 S
Expiration Date \%~,
Constr Contr. Number ~~ I04q~9
Expiration Date )-1'..yO",
Signatu
per . ing Electrician
. ~
./1~
. J'D.
'''';; V,drY".,' k+. LJiv.hS
Ovners rU
Address S""/:. ..... P
City,
Phone (4t./~;nIL
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
'for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT D:
RECEIVED BY:
TRANSll:01-0002248
, DATE:JUN 20 2000
AMT RECD:2 $ 38.50
- CHANGE:
. ELECTRICAL PERMIT APPLICAT~HIER: 061
City Job Numbert')O~Ooq7~-O I
3. COMPLETE FEE SCHEDULE BELOII
-
A. Nev Residential-Single or
Multi-Family.per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder S 40.00
.B.
Services or Feeders
Installation. Alterations
or Relocation:
200 amps ar 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
S 40.00
C.
Temporary Services or Feeders
Installation. Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see "B"
above
Branch Circuits
.'
New. Alteration or Extension Per Panel
One (Circuit 1- S 35.00
Each Additional
Citcuit or vith Service
or Feeder Permit S 2.00
J
E.' Mis~ellaneous (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 ~'1""i-
1% State Surcharge ;r
% Administrative Fee I ~~
TOTAJ., 3g ~