HomeMy WebLinkAboutPermit Electrical 2001-5-16
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SPRINGFIELD
The tol/owin ro'
Zoning, and gdP Jeer as submitted ha
approval' ces not.requjre speC/'f'S the tOllowing
. . Ie land
225 FIFTH STREET . ZOning_ r!...C!.. use ELECTRICAL PERMIT .APPLICATION
SPRINGFIELD, OREGON 91td77 -5 - -. ... .. '~a7:
INSPECTION REQUEST: 726-Jlti' /'-'-0/. -City Job NumberOl 00 -!-t ...
OFFICE: 726-3759 Authorized Signarure _ ffu/.,
'.
1. LOCATI~ ^ O~ INSTAL~~~ n.-
=-z.r~?; r 'LVl ,,VL ( P ..L1
\ 'I 'n~ ~~S~PT5?N 07 J 0"='
JOB DE~PTION ' L
r..l \II q ('.J {DCL I f"':?-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
E1ectric,!1 Contractor Et/qene See/nu
ATTE'i~O'Nmo~l)-\~equireS you to .
Add res,s.IIn\AI rlllcCl ~nn':"ltOt1 n~' tho ('rD~,..n Iltilit~'
. N. otif)i:i~i2!"e97.'e;r. Ttu'hse rul.?-i ll!P,~t!~rt,.,
Clty :-C[i:.-=~~ ._\,.. '_"_'~'Jflll~IJ:t..~~~?~
S On90. YIW. mav obtN~in ~onies O~,8,. ;>-;&es by
upervlSor ...lcense umuer ,J'-:'700
calling me cemer. \NOte: ..,~ .~,~,:.. ,~,.~
Exp i ra't'i'O~€D~1:r4he O/ql,;::lIjJjii)','Notification
Cc.o~C'1 I;:) l-OUU->.).JG-Lv.......}.
Constr Contr. Number a:A 9tJ:JL2.0
<3/17/t?.J tf:/
Expiration Date
. Signature of Supervising Electrician
(/J. ~.t2 ~~O~
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Owners Name LIT\+l A- \ oun'\-A-
Address 8to3~('fICl~ 6~\
~e
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----~---------~-TL":----------------
DATE:(jf't:lU- /i//"f"'v. ~ IIQ./
RECEIPT II: 7J . . . ..
RECEIVED BY: I /. 1110. C/!Za:.l )
COMPLETE FEE SCHEDULE BELOV
09
DA,TE: MAY 16 2001
ANT RECD:2 $ 56.10
CHANGE:
CASHIER ~011
0/
. A.
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'd Home. or
Modular'Dwelling
Service or Feeder . $ 4'0.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
2,9.9)tYlp.f;.or less $ 50.00
201 amps-.to 400 amps $ 60.00
4!nJsa,mI>.~M~;osM1QL.l!lJI.p~~ I~ T~. E \$~,9P;. 00
6PltraIllP'~7rt?llko..Q..Q ilmp,s_ -- $l,iQ...oo
Ovel:HlIOOO:lampISJlvollfk'3 rcnlV"T I%~. 00
~S9n..@9JEgnj!YIS ABANn(1M~n FC>>l 40.00
-te~pJ~~f'yA,YS~~~ms or Feeders
Installation, Alteration or Relocation
C.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps.or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per
I
Panel 356'0
$ 35.00 _.~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Servicr./
or Feeder Permi t 6
E.
5.
SUBTOTAL OF. ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00 /&
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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I Job# 01-00497-01 J
Page 1 of 2
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00497-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 863 Main St Spr
Assessors Map#: 17033542
Lot: Block: Addition:
Tax Lot #: 07100
Subdivision:
Owner:
Lith ia Toyota
863 Main ST
Phone Number: 541-747-3374
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Eugene Electric Service Inc
120 Monroe St, Eugene, OR 97402-5039
Registration #
90200
Expiration Date
3/17/2003
Phone
541-344-3561
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,
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Fee~)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
"
.
,.,
Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
~
<<
Signature
Job# 01-00497-01
Paid On Receipt#
Electrical
05/16/2001 5409
05/16/2001 5409
05/16/2001 5409
.
Page 2 of 2
Value/Quantity Fee Amount
9
$51.00
$3,57
$1,53
$56.10
$56.10
0-) (p-u (
Date