HomeMy WebLinkAboutPermit Electrical 2001-5-4
Mar-14-01 lO:34A
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DeVELOPMENT SERfIie'li'9.,fi,PARTMENT 11 II .
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Zoning 6- t,..f-- 0 I \
Date - JNJJ
225 PIFTH STREET Authorized Signature
SPRINGFIELD, ORECON 97477
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
1.
~~ION ~TIO~;J-~
LEGAL DESCRIP'HoN
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A,JOB DESCR;IPTION. I
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
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, 2..' CONTRACTOR EINSTAL/:;ATlON'VON\\y
T '-i~.'. 'f '~;HALL "t"lnl-1l .,._'
\Ei~.c trica.1llcont>,ac',to'i'F . ~\.,. ,,,,, 'I 'n
A\.n~Y- ,': ,".l.''1. '4L.J,-,r.... ,.. F.:J~ '-'
C~~dressdl'lISS 'J.',:)~';1:. , F.f!fire .
rei ty \::."8oY';~~ Phone "-:l,W2 =1:fll
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Supervisor License Number ~~~
Expiration Date ID!()\ (C\\
Constr Contr. Number ,~~~~
Expiration Date ri-\N;::'. \'D~
Signature of Supervising Electrician
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Ov s Name~ OU1~.0
Address~6 ~.J....oL..fru~ e.R
Ci ty.s., Ll Phone '7;).(" - l.j"lJ,t
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Ol/NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~;~-(J~::~~-:--l5;r-----------
RECEIPT .: _' :' ,
RECEIVED BY: / / . ,rna ('/1 {/ (L V
2:>5 ~/FTH STRFET
SPRINGFlrL D. OR 97477
1:>41) 726.3753
FAX (54/) /26.3689
ELECTRICAL PERlUT APPLICATION
Ci ty Job Number QQ - (J7) g K 0 - 01
3.
A,
COMPLETE FEE S.........v..E BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
Sum
B.
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home. or:'n,':'''re(fllh)E\:I'I''~:J-
Modular Duelling '. . O'''('!f'n I::il!ly
Serv,ice~or>'Feeder' >.cl byl"e I S"40.00 .('..:,
NO': ~icJ.~;j!1 CC:~lel. Tllu~u lJ J::i a,r,=, ~t-;;! _
Services ;:or" Feeders ~ 0 Ihrough CA,~ 9:>_-0:11
Inst~~~~:t~?,t.n!~t!!!'!tt:ionsieS of tM rules ty
or Reloca tl on.:~ can'er (Note: the telephone
Cf IllllO 1:1.-, l. . . .
. "r>';" 'nr'he Drenon Utiiitv NotllicatIOn
200 amps or"less 1 ;~~ ~'.~ ,S350.OO
201 amps to f400"am:ps"c.-- - - <"'s 60': 00
401 amps to 600 amps 5100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
S 80.00
see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Fer Panel
E.
One Circuit $ 35.00 ~--
Each Addi tional
Circuit or vith Service
or Feeder Permi t -L.. S 2.00 i-.
not includ"d)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
S 40.00
$ 20.00
$ 36.00
5.
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1--1 CJ<(4 10 a
m::c ..p..o
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OG'). 0........
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SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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Page 1 of 2
I Job# 99-00880-01 I
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-00880-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 995 Hayden Bridge Rd Spr
Assessors Map#: 17032612
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 00100
Subdivision:
Andy Miller
995 Hayden Bridge Road
Phone Number: 541-726-4051
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Plumbing
r
Contractor Type
Electrical Contr
Plumbing Contr
Sewer
Sump Pump.
Contractor
Reynolds Electric Inc
2175 W 2Nd Ave, Eugene, OR
97402-7103
Tony Trigg
PO Box 62, Alvadore, OR 97409
Sonitrol Security
P.O. Box 21009, Eugene, OR
Registration #
17252
Expiration Date
2/8/03
Phone
541-343-7297
\
86930
9/16/02
541-689-6030
541-461-5678
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Quad Area: 5CNW
# Of Units:
Constr. Type:
Water Heater:
# 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 after 7:00 a.m. will be made the following
working day.
Rough Electrical
Low Voltage
Final Electrical
Required Inspections
Electrical 1
- Prior to cover.
- When all electrical work is complete.
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I Job# 99-00880-01 I
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Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Transfered Records
07/01/1999 34704
Value/Quantity
Fee Amount
Plumbing Permit
Total Transfered Records
40
$40.00
$40.00
Branch Circuits W/O Feeder or Service
Restricted Energy
State Surcharge - Electrical
State Surcharge - Electrical
Administrative Fee - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proller time and that the project address is readable from the street.
e-~ S-'(~o(
signa~ Date
Electrical
05/04/2001 5164
05/16/2000 1749
05/16/2000 1749
05/04/2001 5164
05/16/2000 1749
05/04/2001 5164
3
1
$39.00
$36,00
$2.52
$2.73
$1.08
$1.17
$82.50
$122.50