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Home My WebLink AboutPermit Electrical 2000-3-20 . I Job# 00-00391-01 I .. Page 1 of 2 TRANS#:01-0000978 DATE:HAR 20 2000 AMT RECD:2 $ 39.60 CHANGE: CASHIER: 059 ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00391-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 919 International Way Spr Assessors Map#: 17031530 Lot: Block: Addition: Tax Lot #: 00700 Subdivision: Owner: Oregon Metro Credit Union Phone Number: Address: 919 International Way Scope Of Work: Electrical Only City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Contractor Type Electrical Contr Contractor Sonitrol Security P.O. Box 21009, Eugene. OR Registration # Expiration Date Phone 541-461-5678 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 Low Voltage AI I Cl\,! I iVI\,j.VIt:~Ulllav.v iclquHes you lI.. . follow rules adopted by the Oregon Utilit\ Construction Tl~bE' Notification Center. Those rules are set fort, Occupancy &~bL~~.' ALL EXPIRE IF THE WORK n OAR 952-001-0010 through OAR 952-001. # Of Building51:\IS PERMIT SH ERTHIS p!\~fi~tQl'te'iH Height (fsgtJ.:You may obtain copies of the rules b\ # Of Bedroon:tl\.JTHORIZEO UNO CUl'Mn...rnits: Proposed:tllllt5':the center. (Note: the telephone 'ISABANOu..t:.v'~' - T N IT r Handicap AC~Il?~CEDOR Census Code: Does not apply numberfortheOregon Ulllly 0 Ilca Ion iArea (Sq. Fe~~~ ~tluiJri;-f'ER\C'n ('p,,~('.;. ul"",~~"'''~l\d\, I Main: Accessory: Total: Fee Paid On Receipt# Electrical 03/20/2000 978 Value/Quantity Fee Amount Signal Panel $.00 II Fee . Job# 00-00391-01 Paid On Receipt# Electrical 03/20/2000 978 03/20/2000 978 03/20/2000 978 Restricted Energy State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Gra~d T~ I / a~L!?~' Signature /' . Page 2 of2 Value/Quantity Fee Amount $36.00 $2.52 $1.08 $39.60 $39.60 ..]-010-00 1 Date . . ,helO 0 d does no\ reqUite zonIng, an approval. L-"-:il. Zoning - '? ~ Z-O - d"O ~~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number nO - 00 3CfI- 01 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION. REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION q/9 Jk~Li=rnLJ fl. C)JM 7- 726- '>.7&%ignelure - h.J{lIOIl1& 3. COMPLETE FEE SCHEDULE BELOY ~ New Residential-Single or Multi-Family per dwelling unit. Service Included: A. LEGAL DESCRIPTION Sum Cost Items $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder JOB DESCRI"ION . /L, J d IA~ . fbYnffYl. l<'l'.P.f1.1A./l.l;CU~~ Permits are n:n-transfet.{ble and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Sonitrol Security or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only AddressP,Q, Box 21009 Phone 461-5678 Ci ty Euuene Supervisor License Number " Expiration Date C. Temporary Services or Feeders Installation, Alteration or Relocation Conste Conte. Number 65149 $ 40.00 $ 55.00 $ 80.00 see liB" above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts 6-28-00 Expi ra t ion Da te Sign~of ~~sing Electrician -;;/~~"~------ Owners Name ~ /J2dJw., &.#tld~ Add ress _'1/9 : 'Affla.:b.:arw f. /{)cr Ci ty SP..(J{ /) Phone Branch Circuits New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 OVNER INSTALLATION E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm -L $ 36.00 c'3h.OO The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: '9&".oD - ":;..52 I.O'{ .::19'.6 () 5. SUBTOTAL OF ABOVE 1f% State Surcharge 3% Administrative Fee TOTAL --------------------------------------- -';.... 'LP"II'O 0\1il,. , -I:u) DATE: RECEIPT ~: RECEIVED BY: