HomeMy WebLinkAboutPermit Electrical 2000-05-09SPR!NGFIELD
Job# 00-00620-01
COMMERClAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANBS:01-0001608
DATE:HAY 09 TOOO
A},IT RECD:2 $ 38.50
IHANGE:
IASHIEH;059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 480 Shelley St Spr
AssessorsMap#: 17032710
Lot: Block: Addition
Job Number: 00-00620-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 08000
Subdivision:
ctTY oF SPRTNGFTELD, OREGOI'
Owner: McKay lnvestments
Address: 2300 Oakmonl\Nay #214
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
541-485-4711
Eugene, OR 97402
Value: $O
Contractor Type
ElectricalContr
Contractor Registration #
C & S Electric lnc 3849
Po Box 1482, Springfield, OR 97477-0189
Expiration Date
9t1t2000
Phone
541-741-2236
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use -
Land Use: *o=ronn,r",0l],S€tifn@1iyy
Zoning Code: rON St 11ft U-- .,r,".1 _,"#@ElmilroUt:
R::;"":'"' ,Hc/u3ru*r;;ffi#mfl
To request an inspection call the 24 hourrecording at726-3769. All inspections requeste*{ffifldJf$O
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Electrical
Rough Electrical
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
- Prior to cover.
-When all electrical work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code:Does not apply
Accessory:Total:
-(.,
lo
Job# 00-00620-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
05/09/2000
05/09/2000
05/09/2000
1 608
1 608
1 608
1 $35.00
$2.45
$1.05
$38.50
Grand Total $38.50
Signature Date
SP TGFTELO
Zoning _oT
225 FITTE STREET
SPRTNGFTEL,D, oREGoN 97 477
INSPECTION REQIIESTz 726-3769
OFFICE: 726-3759
1. LOCATION OF
Authorized Signature city Job tt*a", OO.0O640'OI
COHPI,ETE FEE SCffiDTII,E BELOS
a
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
ELectrical Contractor Cv S 6./cch r(L
Address )-
Ci ty 9,;n{te/a 7q I ->>s6Phone
PBRilTT APPLICATTON
Nev Resj.dential-Single or
Multi-Family per dvelJ.ing unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
s 8s.00
Services or Feeders
Installation, Alterations
or Relocation:
Date
3
A
I,EGAIt103 DESCRTPTION2+tO ofioo Sum
s 1s.00
$ 40.00
B
sup"rrtr'nr 1y'""n"" Number lb%s
Expiration Date -or-0
constr contr. Number iS
200 amps or less
201 amps to 400 amps
-401- amps to 600 amps _601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0n1y
50.00
60. 00
100. 00
130.00
300.00
40. 00
s
s
$
$
$
s
S re of Supervising Electrician
0vners Name
Address
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
20L amps to 400 amps
-
$ 55.00
Over 40L to 600 amps
-
$ 80.00
0ver 600 amps or 1000-voTts see "Bu aE67E-
D. Branch Circui ts
E
.00
.00
.00
.00
New, Alteration or Extension Per panel
one Circuit I $ 35.00 Zb,"Each Additional
Circuit or vith Serviceor Feeder Permit _ S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAI
c
Expiration Date -/-ffi
Ci ty
OIINER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor saIe, Iease or rent.
Ovners Signature:
DATE:
Pho"e q ?LF q71 /
$+o
$ao
$zo
$36
5
C'TY OF onEGorv
RECETVED
o
ni
DESCRTPTION
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