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HomeMy WebLinkAboutPermit Electrical 2000-4-4 (3) . Oi.6 . I Job# 00-00512-01 I . Page 1 of2 TRANS~:01-0001138 DATE:APR 04 2000 AMT RECD:2 $ 122.10 CHANGE: CASHIER: 003 SPRINQFIELD ~ CITY OF SPRINGFIELD~ OREGON INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00512-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 123 International Way Spr Assessors Map#: 17031540 Lot: Block: Addition: Tax Lot #: 01100 Subdivision: Owner: Address: Sony Disc Manufacturing 123 International Way Phone Number: 541-988-7425 City/State/Zip: Springfield, OR 97477 Addition Value: $0 Scope Of Work: Electrical On IX Sony Disc Manufacturing Resin Transport Surge Bin Addition Contractor Type Electrical Contr Contractor L H Morris Electric Inc 483 Shelley St, Springfield, OR 97477-1966 Registration # Expiration Date 1838 6/8/99 Phone 541-747-0811 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? 0 ,Area (Sq. Feet)- I Main: . Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: 1 I \; . Job# 00-00512-01 Fee Paid On Receipt# Electrical 04/04/2000 04/04/2000 04/04/2000 Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total EI~ -G7// PSk/ Signature . Page 2 of 2 Value/Quantity I 1 Date . Fee Amount $35.00 $2.45 $1.05 $38.50 $38.50 " '.. . 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 -~.-.- Job Number~ -~ ~/ 2. -0 I COMPLETE FEE SCHEDULE BELOV . A. New Residential-Single or Multi-Family per dwelling. unit. Service Included: 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders ,0,\ - Installation, Alterations Elec td cal Con t rac toro;. \..\ .ffi(\lliS<rlop l.::x......c..or Reloca t ion: Address ~::) ~ j ~ ~-\-" Cit~t~ d Phone ,tll-o'R I J Supervi~or License Number ~~ 10-01-0 , Cons t r Con no. Number ('J I 'R 3es Expiration Date (.n - 'X - a I LEGAL DESCRIPTION I 7 0.'3 I 5 4RJ 0 / /15"C, n JOB DESCRIPTION Ir. ' /'l J\~" 1+ !S..r^'~" . ~ 1- .c0.J Hao lJ.1M ,UOlJ1..U.UL,..o 6 . Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT ~: RECEIVED BY: L/-t{- o1J JI"?"l DH 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnecc.Only Items Cos t Sum $ 85.00 $ 15.00 ,$ 4'0.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"o'l" less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Signature of Supervising Electrician ~a.!' -- , /; C:{ r'\ . D. Branch Circui ts Owners Frame ~lL1 ~JC..-, ~New, Alteration or Extension Per Panel Address \;::}...~ 'L\\O.l'(J\n.J..... Y"I~(L(.. L $ 35.00 '3c:.. ne Circui t ,J City Phone. Each Additional Circuit or with Service or Feeder Permit .' $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy/Comm. E. 5. SUBTOTAL OF ABOVE ~~% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 35.eP .;.J.~ \ .0"'> <.J[5.SV