HomeMy WebLinkAboutPermit Building 2000-10-20
,. .....
.
225 North Fifth Street
Springfield, OR 97477
Job# 00-01097-02
..
Page 1 of 1
TRANS#:01-0003541
DATE:OCT 20 2000
AMT RECD:2 $ 281.60
CHANGE:
CASHIER:059
I
,. ,
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01097-02
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1011 Harlow Rd Spr
Assessors Map#: 17032200
Lot: Block: Addition:
Scope Of Work: Electrical Only
Dental offices for Brian T. Work, DMD
This is a copy with a new Sequence Number - The electrical fees are accepted here. They were
n"iei hAforA thA rA"t of thA fAA". W"t"nIAv 1 0/20100
Contractor Type Contractor Registration # Expiration Date
Electrical Contr New Way Electric Inc 51088 "i1,6/27/01
'0/ .,
Po Box 21503, Eugene, OR 97402-0409 A, 10"" C I.
0",.. u/l<:J. ,~
"'0 -<1110 'U',
:.qA r:l,.' uUff.-t f':!'
0090 9S2_n eri//" . J.. _,
. y. #'Of B' 'I'd' ," ') "
C"'/Z' Ou rh 0 UI IOg~: 'flo, . . v
(,.lln "(fJl._ VIr,;!..,'" rUI.- '.,
nUnlb g thp OccupancylGroup: eI, ",
G (~,..~ '41f1,.,,.., "'YrJU ~,
I fO, "Heat',Source:.9< IIJA9"fil'r
(... IIIC. r\ l'III'l~' \ 01 ~"'l .
Range: . ~~. .Sq!lF.ootage:'n fh.~. <"'U,..
. . ~ur, I... E I..... U/n.
". ,-"'If] ""'/JtJ . <-
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before f!6-0'frc~on" :y
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following 11u/)
working day.
Owner:
Address:
Pacific Continental Bank
1011 Harlow Road
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Fee
Permanent: 201 to 400 Amps
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Tax Lot #: 02503
Subdivision:
Phone Number: 541-686-8685
City/State/Zip:
New
Springfield, OR 97477
Value: $0
Phone
541-686-2365
Office Use
Land Use:
Zoning Code:
Bedrooms:
',:,-
lJNO"'IC~.
# Of Stories: -4 J.fIS Pl.Height (feet):
Current Units: ,.., UI170,.F!~posed Units:
Lo(,)', r7l<!:,O ""l.l <-
Census Code: Does notapP'ly~ 41;D cJ(PI.9,t::
~/I/V180'" C~DOAI. 'E:AII7I;t:J"/~/J..t~
Total: I D-4YP~AIr.~.tJ841v.1)r.~AIL1II/~OAI(
Paid On Receipt#
Electrical
10/20/2000 3541
10/20/2000 3541
10/20/2000 3541
10/20/2000 3541
Value/Qua;'titYlA Fee Amount
2 $120,00
68 $136.00
$17.92
$7.68
$281.60
$281.60
. "-,'.
,
,,,,,,
__DID ~1~DJ
,
. .
225 FIFTH STREET ZOning.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 126'-3769>'-
OFFICE: 726-3759 Aut""".,," ~,~.'aLUr",-
1.
LOCATION OF INSTALLATJ;ON
\\:) \\, t\cu-\{)Io..\ ~o-...\\
LEGAL DESCRIPTION
I:rO,a::>a1 O;;z.0~
JOB DESCRIPTION . ^n
T.{>~ :L..f JlJ/
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractoff(//(//hr/i/; I'~c!..:
Address ,tIc).Ati-rL ~/.slJ...'..J '
'J ' ,
Ci ty~;J' Phone. <XI II, ,fin -::J::v,.J-
Supervisor License Number :r_7~~ ~
, -<-,
Expiration Date II') -ol-o!
Constr Contr. Number :5;'c7~cf
Expiration Date n(., 'd7-{!/
, st1:117szttZlectrician
;yne;s Name VIW~./~
Address 10 l\ +\" ^ (A.. J
City
Phone
OIINER, INSTALLATION
The installation is being made on
property I ,oyn which is not intended
for sale, lease or "rent.
Owners Signature:
---------------------------------------
DATE:_ _ LO. IQ. OG>
RECEIPT t::' ~ .ld.~ ,n~.;-
RECEIVED BY: (,.1 .bJ.-...._J....
I
S~FIELD
ELECTRICAL PERMIT ,APPLICATION
.Ci ty Job Number
3. COHPLETE FEE SCHEDULE BELO\I
, ,
00 - 0 I Oq'"t;;:.Q I
A_
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Sum
Items' Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dyelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps .:l
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00 lAQ...
S100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
D.
Branch Circuits
. submitted has the tollowi" '.
~';': ~~:\'0\'J\ng project as ire specifiC land use
" _, b~lO does not reQu
:;l~,;,,,';'~li . (L.c,
\0- )..,0-:&'0
~
above
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or yith Service
or Feeder' Permi t ({ f( $' 2.00 iJ (
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Z11 (pO
., ,1::1,
?y.
::2..11'1. "