HomeMy WebLinkAboutPermit Electrical 2001-4-26
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I Job# 01-00426-01 I
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CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00426-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3957 Hayden Bridge Rd Spr
Assessors Map#: 17021900
Lot: Block: Addition:
Tax Lot #: 3300
Subdivision:
Owner:
Address:
EWEB
500 East 4th Ave
Phone Number: 541-484-2411
City/State/Zip: Eugene, OR 97440-2148
New Value: $0
Scope Of Work: Electrical Only
Contractor Type Contractor
Electrical Contr Greg Black
x,x,X
Registration # Expiration Date
Phone
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 after 7:00 a,m, will be made the following
working day,
Temporary Power
Required Inspections
I Electrical I
-Approval required prior to SUB energizing pole,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. L~t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
r
Paid On Receipt#
Electrical
04/26/2001 5076
Value/Quantity
Fee Amount
Temporary: 200 Amps or Less
1
$40,00
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Fee
Job# 01-00426-01 I
Paid On Receipt#
Electrical
04/26/2001 5076
04/26/2001 5076
04/26/2001 5076
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Gra~~otal / /
J~ / !'A/vC
Signature
Page 2 of 2
Value/Quantity
Fee Amount
$,00
$2,80
$1,20
$44.00
$44.00
vi ZcyO/
I
Date
1M tollOw1ng
rOlect as sUbrf\lttedB~~~C \and use
'he lollowlng P ot requite sp
and doBS n
zoning, 11 (\ i
approva\., ~
225 FIFTH STREET zoning - "
SPRINGFIELD, OREGON 97477 W-J-ID:- 0 .4. )
INSPECTION REQUEST: 726-el~9'- . _.
OFFICE: 726-3759 MlhorizeO Signalure-
3.
~ 1. LOCATIO~ OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
+.J",""/l \lw-.f' O'~'O"ND tla... ~""-Uf
Permits are non-transferable and expire
if work is no t 's tarted wi thin 1BO days
of is s uan,ceEo J:f1tf::~o !t':lfi !iJ,!i!l_s.PJ~n<!~d..ll:f.Qr
180 days.",lIow rules adopted by the Oregon Utility
Notification Center. Those rules I'lre set forth
2. CONTRAGTOR INSTALLATION ONLY. B
6 ". _1"'\, I "".,J2-vv I -vv I V U II vugt I v/"'\R 952-001- ..
El 00910. CYou mav IJbtain copies of the rules by
ect~lca II onttractor I"" L L' ~ I.'
1,;(;1 In9 lie cerlle:. \' ~.;:...:.: ..~,.:. .,:,.':'':',-,':',-,':'
Address rlumber!orthe, Ore,gon IJti'ity Notification
V,",II~O;:;;I I~ I-UVV.vvG-c;,v........j.
City
Number
Phone
Supervisor
Expiration Date
I Constr Contr. NumbeJ:~
'ExPiration Date ~
><;&::e;;1iJ:l"' :;;;q";~
'! Owners Name 6().}~.r\ .
I' Address <;00 fi".. 4 f't-'lJV'C
Ci ty 7. U "t Iv'\. Phone ~ '-I / -1 fJ I./LI
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O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
J;';;;:::;;;vrL
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DATE[~ ..-;). (,0 /0 /
RECEIPT If: . "
RECEIVED BY: JI-) , f Yl fl( J').t{L1 0
5.
076
DA TE: APR 26 2001
ANT RECD:2 $ 44.00
CHANGE:
CASHIER': 001
~~!nICAL PERMIT APPLICATION ,
Ci tyJob Number a \ oa '-+ ')..(p 0 I
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf ',9 ~H9!')e,,,~r
Modular'Dwe~ling~'
Service orTlJ;,~edl!rMlr SHALL E>S)I~e lbOHE WORK
S ' . t1.'F'Tf-<I]RI7EO UNDER THIS PERMIT IS NOT
erVlces o~. eeuers
Ins talla tiob(,)rvA1[eeiJ)a~t:b'i1sS ABANDONED FOR
or Reloca t igAt ~8il \)JI'H[RIQD.
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00'
Reconnec t Only $ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
flJ.(/'I
200 amps' 'or less ~ S 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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HAYDEN BRIDGE
SWITCHING STATION
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