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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 I q