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HomeMy WebLinkAboutPermit Electrical 2000-8-9 l - , . I Job# 00.01230.01 I . Page 1 of 2 TRANS#:01-0002868 DATE:AUG 09 2000 AMT RECD:2 $ 45.10 CHANGE: CASHIER: 059 ,...r .. , ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01230-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 914 Main St Spr Assessors Map#: 17033542 Lot: Block: Addition: Tax Lot #: 06000 Subdivision: ~ Owner: Lithia Truck 914 Main St Phone Number: City/State/Zip: Springfield, OR 9747 Alteration Value: $0 Address: Scope Of Work: Electrical Only Contractor Type Electrical Contr Contractor Jb Electric Inc 4065 W 11Th #18, Eugene. OR 97402 Registration # 104929 Expiration Date 3/14/04 Phone 541-687-5770 Office Use .." Itl~rIUI' . . Quad Area: Land Use: 10110""# Ofo;Bulldmgs: ,. . nrulesarlJ:l.ntarlJ:l. '11J lb~ 11..1.... l. # Of Units: Zomng Code: "wtit/cation Ce~"-"Jl~R!!JOn Utili" Constr, Type: Bedrooms: _ ..,,;;lQAR'952.001_WeafOOurcOleS are set tor' W H '!'c'R' .;1t:l....vl..a,..\..."'4 ltJ.g Uil.\.. U10thrn,IJnt.;OA V ater eater: ..,1 \ _I ,a~l!.e: nl;'r\hvtheOre!jtl>f~t'!uv mavo jj1R:;"O'?J"~: _ A952-o01. IUIIV" '...,~- -g~ ~ se rUlesare3i' 'fOecente, PI.-- YoU." 'wes OJ' To request an inspection call the'2!1t~'oo:&fil1ll~:W ~b\I~CJAfBi ' ~1~\lRtj~~~(~_hone a.m. will be made the same worki~Q)dliYl3ifl~~tig~~~ fLl\jtJ~g 8flmE7rOlea:.. .",Y,oIiIT;PfI Wl!~~tlWitf6~lioot;on working day. 0090. You may 0 al iNote;,thetelephone ., '~~~'?~!1"'1. calling the centel, , IltililV.Notiflcation numoer1UrRaql1~~~~JJP,/JJ~. q~nt." .' Electrical I Final Electrical -When all electrical work is complete. '. . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: NOTICE: THIS PERMIT SHAll E AUTHORIZED UNnHl ;P/RE IF THE WORI( NO'#I0f~tories: CaMS' eight (feet): HIS PERMITIS NOT 11\.1 . )8:JG:IC'^Q"f\' CurrRent.Units: LEXP}I::lI;:.1 /3.Ql?f\l'rol1osed UnltsDONEDFOR THI" I-'t: IVIII ", " .- "'IVY ",...1I'lH 'Census.Code:80esfnoti8jiply ."',......100. ^ IITl-lnKILt:u u",..~, ,. .. - , FOR 'CO"lME~ '''CD OR 1$ ABAluul~ED IV Total: _ _..........r-'llnn Fee Paid On Receipt# Electrical 08/09/2000 2868 Value/Quantity Fee Amount Branch Circuits W/O Feeder or Service 4 $41.00 ; . "/J:'I I '. ~ Fee State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature Job# 00-01230-01 Paid On Receipl# Electrical 08/09/2000 2868 08/09/2000 2868 . Page 2 of 2 Value/Quantity Fee Amount $2.87 $1.23 $45.10 $45.10 Date The following project 8S submitted has the following . zoning, and does not require specific land use approval. Zoning 91:fs7J 726-3769 ' Authorized Signature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 c...c.-- y/.q-OV <KW 1. LOCATION OF INSTALLATION c:rJ.J::l M a,VI S--+ . "'" L LEGAL DESCRI)TION _. ' , I?DSJ51;h '6. .,"d..;' I ,."", o 600c.- JOB DESCjRIPTION I U ht-A......I"'Vl '''LECTRICAL PERMIT APPLICATION Ci ty Job Number ()0- 0 (.::2..30-Df 3. COMPLETE FEE SCHEDULE BELOIl A. New Residential-Single or Multi-Family ,per dwelling unit. Service Included: ~---- ~ , , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. .1 I 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractorl~ rLE:.Lr~lC Address i-j.Dlo~ (1)~ 1 \+b -t\= \ '8'"' City Eub8\)C Phone {O?{I-C):r:rO Supervisor License Number ~:r~, ~ Expiration Date I Constr Contr. Number!~ ~-~ Expiration Date !()/61/flO ( I Signature sing Electrician Owners +,.v~ It-. Address City Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEI"PT 11: RECEIVED BY: Items Cos t 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 .$ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect'On1y $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel A -7"'- ..J.- $ 35.00 ")&) One ~Ci rcui t Each Additional Citcuit or with Service , . or Feeder Permlt , I , MisCellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E.' 5. SUBTOTAL OF ABOVE 1% State Surcharge 3% Administrative Fee TOTAL '7, $ f..'/ 2.00 no t included) $ $ $ $ 36.00 .../ Lj~~ I~/Q ~ 40.00 40.00 20.00