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HomeMy WebLinkAboutPermit Electrical 2001-5-16 ,"" " .' . ,. . 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~ v . - 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 L~I . (jO J.t;>/ /.6:5 6&' jo . . . j,.; I Job# 01-00497-01 J Page 1 of 2 SPRINGFIELD ~ 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