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Permit Electrical 2002-6-3
-1'\: r'22s,FIITH ~TREET ~~ -~\ r---1-1 .-.....' - ~;~.~.. '.1,0\ rN .' c~ ALP. ERMJ. T APPLIC~..T.IO._.N,."',,: If (' ,:.\SfRI)'lGfTECD~ oREi::;9)'l97~7n ,c-J .. .:.j rA~~' ~ \. ~ . INS~ECTIQN REQur~rn6:~769 -, S 1',8tJ61l ~umbcr~Z'-O~ 5''1'7- OJ, '. ~'. I O~FI.CE. 726-3759, ". I '11 . J. -"-l HI" . .." . .. F.) I r- l !~\ ! I . . ; ~ } ~ '..7 !: r . L:__, :3..C<;JMPLETE FEE SCHEDULE BELOW '- \._:) .J I. ~~?tl-!V! ~:El~~~I~PN IH~" ';~.! ~:L~llv'rtc~'dentib-s'i~gl~Jor,,"c..:.':"_L'::':~'L:.;\,,';': Multi-Family per dwelling unit. 1:.. .-' " Sen'ice Included: Z.:,' ...1 LEGAL DESCRIPTION n033>l;Li3 Items Cost Sum ,", r. j ,:,.{ f- '-lr r" ""..!~ .. , fi:'-;':.::.i l,' "'l , ' '~', . {3'~.Q~n" r a 'Y ana d 1'O/SCf as PoroVal Oes not SUbrnitte JOB DESCRIPTION reqUlre.p d~OQ!),WJ\;., or less Ar>~/I\ib- T<.:> ~<;2~rn;'" (0r1.., eWifCI/ladciiJgm9l500 . ,. c. sq. ft or portIOn Permits arc ,\?n-transferable tiittloe<<rufFs. - () 2- if work is n.ot'slarted within 180 days 190alure~' 1 Manu a Home or of issuance br:ifwork is suspended for Modular lling 180 days. :,.\ Sen eeder :: .~. ~ $106.00 ~j , " .l. $ 19.00 ' ... ., ,'. ,. i- " I." i':. /' ' J. , . , , .. \ (\/ .' I' .' j,-.<: . ~: t "~'~" li~<<': I~ ., , II J'I' ./; " -. , , . )'.. /" ., :;, .,. 1.. , nO:tl31H8tJ8 " :38N\JH8 06'9$ G~a83~'~N\("- ',':'i. GOOZ~~O'Nnr:3i\JQ ,";: 10\:\:6'000;" 1:0: #SN\Jm " r' ~ '.~' ." .. , '. ~ .J., - >:-, .\ .- ~'. "j ,\ . ' , .-'. 'c' -.>"', N'< ;l,(' ... :. . i \ .~ '1 .' " .-'~ TOTAL . . ' -'.' -.....--. ._,.;.....~_.,_.-. ,-._--. . I Job# 02-00547-01 I . Page 1 of2 i SPRINGPIELD ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00547-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1735 Henderson Ave Spr Assessors Map#: 17033443 Lot: Block: Addition: Tax Lot#: 13700 Subdivision: Owner: Glenwood Christian Church 1735 Henderson Ave. Phone Number: 541-688-5525 Address: Contractor Type Electrical Contr Contractor Christenson Electric Inc 111 SW Columbia St Ste 480, Portland, OR 97201-5886 City/S~l~/~!p.;-IOI'~!dg~Q(J, OR 974,03 . Alteration:)lIow rules adoptV~I'ue!he$Oregu,- '-', .' Notification Center. Those rules are SI;; ,C in OAR 952-001-001 0 through OAR 952-i" nngo. You mav obtain copies 01 thE' 'l'IeE b I callina the center. (Note: me telepnone R~I1!l',~~lipJ'! P.le ig!\Pjt,!~iQ!lI.I?,ateJtifica'd phone 458 Cenled'5/1/2003~-'''~'~' 503-241-4812 Scope Of Work: Electrical Only Glenwood Christian Church Adding one circuit. Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: NOTICE: Heat Source: Water Heater: Range: THIS PERMIT "HAil ~tJa~tf@lf~~ '!!2,'1:{ To request an inspection call the 24 hour recording at 726-37~;F~~~f.QiJJfiq~~~~~vijbNOT a.m. will be made the same working day, inspections requestWaA~r~m~~lfPbM1MlJe(lfllEij.l/QYtVlg working day. ANY 180 DAY PERIOD. Required Inspections Electrical Rough Electrical Electrical Service Final Electrical - Prior to cover. - Must be approved to obtain permanent power. - When all electrical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: :I> -< :::::0::::0 -< :I> :D -<2 ;0 rn CiJ m..# C"') ("')~.. :I? c::lc:q :c "" I )-10 00 rn::c f:fl ~~l 0 ::>:J:D C) .. ::z:: 0-- r-.J ....0 OG"). ou ..........,.,""OOtJ.l ........u Ot'..JU1 Total: . -; Fee Minimum Electrical Permit Fee Minimum Electrical Permit Fee Minimum Electrical Permit Fee Permanent: 200 Amps or Less Branch Circuits W/O Feeder or Service Branch Circuits W/O Feeder or Service State Surcharge - Electrical State Surcharge - Electrical State Surcharge - Electrical 8% Admin Fee - Electrical 8% Admin Fee - Electrical 8% Admin Fee - Electrical Total Electrical Grand Total Signature Job# 02-00547-01 Paid On Receipt# Electrical 05/13/2002 05/21/2002 06/03/2002 OS/21/2002 05/13/2002 06/03/2002 05/13/2002 05/21/2002 06/03/2002 05/13/2002 05/21/2002 06/03/2002 8979 9190 9335 9190 8979 9335 8979 9190 9335 8979 9190 9335 . Page 2 of 2 Value/Quantity 1 1 2 Date Fee Amount $2.00 $.00 $.00 $63.00 $43.00 $6.00 $3.15 $4.41 $.42 $3.60 $5.04 $.48 $131.10 $131.10