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Home My WebLink AboutPermit Electrical 2001-11-26kSPFINGFIELD Job# 01-01156-01 PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01-01 156-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00402 Subdivision: h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 7807 Thurston Rd Spr AssessorsMap#: 17023620 Lot: Block: Addition: crTY oF SPRiNGFiELD, OREGOI' Owner: Willamalane Park & Recreation Address: 200 MillSt. Scope Of Work: Miscellaneous Flag pole installation with exterior lighting Phone Number: City/State/Zip: New 541-726-4335 Springfield, OR97477 Value: $1,200 Contractor Type Electrlcal Contr Contractor Willamalane Park and Recreation 200 South Mill Street, Springfield, OR 97477 Registration # Expiration Date Phone 541-726-4335 Quad Area: # Of Units: Constr. Type: Water Heater: 5PNW Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24 hour a.m. will be made the same working day, recording a|726-3769. All inspections requested before 7:00 inspections requested after 7:00 a.m. will be made the following working day Footing -After trenches are Rough Electrical Final Electrical Construction Types Occupancy Groups # Of Buitdings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Required I Buil lete # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply ( Accessory: D'$'{ Total: ,tt$9 Job# 01-01 156-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check 10t22t2001 7034Public Plan Review Total PIan Check 1,400 $29.25 $29.2s Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 11t26t2001 1112612001 11t26t2001 7322 7322 7322 1,200 $45.00 $3.15 $3.60 $s1.7s Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 1112612001 11t26t2001 11t26t2001 11t26t2001 7322 7322 7322 7322 1 $2.00 $43.00 $3.1 5 $3.60 $51.75 Grand Total Plan Check Type Checked By Date Completed Comment lnitialReview-C/l/P Lisa Hopper 1012312001 Engineering-C/l/P Pam Ownby 1110512001 Planning-C/l/P Liz Miller 1110112001 SUB - Comm/lnd Tom Marx 1112112001 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times du construction. l^ul $132.7s a1l( Signature Date 225FTFTH STREET SPRINGFIELD. OREGON 97477 INSPECTION REQUEST : 7 26'37 6s OFFICE: 126-37 59 1 LOCATION OF INSTAILATION rRsTbr.r ?trr. ELEu,RICAL PER]V,{IT APPLICATION City Job 780*t 3. COMPLETEFEESCHEDULEBELOW : . A. Nerv Re.sirlcntial-single or Multi-Fnmily per drvelling unit. Sen'ice Included. Iterns Cost Sumo oLioz JOB DESCRIPTIONI C t(LCv-tf LEGAL DE l-loz SCRIPTION7l,ZO Permits are non-transferable and expire if work is not started rvithin I80 da1's ofissutrnce or ifrvork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Address Ci Supen'isor License N Number 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Drvelling Service or Feeder D. Branch N or Extension Per Limited Ettergv/Comm Nlinimum Electric Permit Inspect {. SUBTOTALOFABOVE 77o State Surchirrge 87o Administrltive Fce $ 106.00 _ $ 19.00 -- $ 63.00 $ 75.00 $ 125.00 $ 14r3.00 $ Expiration Date 00 of Supen'ising Electrici an R3- d{T TOTAL not inclutled) $50.00 _ $5o.oo - $25.00 s15.00 ion Fee is 515.00'lSurchargesrl> i/:ir<'<'3a3-w-7 g4*5 tf ,(7', 60 B. Services or Feeders Installation, Alterations or Relocation: C. Temporitry,Services or Feeders . Installation, Alteration or Relocation Phonc Expiration /a*/ -a Constr Contr 4--. ;db 5 city :; PRJ,1/6 Fi €t/) Pnor"Jlc.- fi! O}VNER INSTALLATION The installation is being Iliade on propcml' I olvn rvhich is not intended for sule. lease or rent. Orvncrs Signature: 200 arnps or less 201 amps to 400 arnps 401 amps to 600 amPs 601 amps to 1000 aniPs Over 1000 amps/volts Reconnect Only 200 antps or less 201 amps to 400 amps Over 401 to 600 anPs : Over 600 amps or 1000 volts see "B" above One Circuit Each Additional Circuit or rvith Serv'ice or Feeder Permit S 3.00 -