HomeMy WebLinkAboutPermit Electrical 2000-3-20
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CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
I Job# 00-00392-01 I
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Page 1 of 2
TRANS#:01-0000979
DATE:MAR 20 2000
AMT RECD:2 $ 79.20
CHANGE:
CASHIER:059
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00392-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3825 International Ct Spr
Assessors Map#: 17031532
Lot: Block: Addition:
Owner:
KMTR
3825 Inetrnational Court
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Tax Lot #: 00500
Subdivision:
Phone Number:
City/State/Zip: Springfield, OR
Alteration Value: $0
Registration # Expiration Date
Phone
Sonitrol Security 541-461-5678
P,O, Box 21009, Eugell!,CO~CE:
TUI~ ~~~U~~.'\LL EXPI~E IFTHEWORK
I'1V I NCIK'Lt:U UNDER TH
L<<1!.~M~~CED OR I IS PERMIT'S NIJ.Jr;lf Buildings:
~j~i,n~9~~~ SABANDONEDFOR Occupancy Group:
Bedrooms: PERIOD, Heat Source:
Range: Sq, Footage:
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
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,
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq, Feet)
I Main: Accessory:
Fee
Restricted Energy
Required Inspections
Electrical I
~. r ,r;.;.._ iG4...llb~ YUI"l ~ .
"n ~I" I iV"":V\l:;~u "," the Oregon Utilit~
follow rules adopted oy 'ules are set fon
Notification Gentel, Those 'gh OAR 952-001-
;n OAR 952-001-001 0 t~~~es of the rules b)
# Of Stori~~O, You may otlta~l'lgl\t (flfet~:\ephOne
. r.alling the center: \ T. 'I'SnliticatloP
Current UnilS':~ber fortha OrERr.cfp'e/lilill' units:
nu . Ann "ltJ:".?~Aa'.
Census Code: oesJl9l'apply1- -, -
Total: ,I
Paid On Receipt#
Electrical
03/20/2000 979
Value/Quantity
Fee Amount
1
$36,00
.
Job# 00-00392-01 I
Paid On Receipt#
Electrical
03/20/2000 979
03/20/2000 979
'J
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total /
rfJJ:/ /L,p____
Signature /
.
Page 2 of 2
Value/Quantity Fee Amount
$2,52
$1.08
$39,60
$39,60
3,;20-00
Date
.
SPRINGFIELD .
.
4
I
The following project as submitted has t e 0 0
zoning, and does not require specIfiC I~nd use
approval. tc-
Zoning
97477 ").,'')-0 _~O
Oa\-
726-:> d)';} c:V'uJ
Authorized Signature 1
3.
EtECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
nO- ()O/'lWJ. - t),
City Job Number
COMPLETE FEE SCHEDULE BELOV
1. LOCATIOIJ, ~t !NSTALLATION
3~;:)5 ~v~ uJeu..:-.
U
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
Sum
Cost
It ems
$ 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
(I~ESqp:PTION, ...I!.. ~.IA:t;;;.. ')
pXp~Lh)~1 h",.r~
Permits are non-trans~rable and expIre
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
$ 15.00
S 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor,Soni trol Secur i ty 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
Address P.O. Box 21009
Phone 461-5678
Ci ty Euuene
Supervisor License Number
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr, Number 65149
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401' to 600 amps
Over 600 amps or 1000 volts
6-28-00
Expiration Oate
Si~~~~~lectrician
Owners Name /(mllZ
Address ..3, 51:l~ ,j)4ih.f'rJ~hrih~' ~
Ci ty SP+ I f) Phone Jt.)~-/JuJo
Branch Circuits
D.
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 S 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 ~O
5. SUBTOTAL OF ABOVE .;3 (" .() 0
7% S ta te Surcharge --:) I ~).
3% Administrative Fee I, t) Y
TOTAL It ..3 q, I" 0
The installation is being made on
property,I own which is not intended
for sale, lease or rent.
Owners Signature:
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'7' )<l- dl)
Ci"l"l '
-1'1' )
DATE:
RECEIPT jI:
RECEIVED BY: