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HomeMy WebLinkAboutPermit Electrical 2001-03-19ctrY oF SPRfiNGFIELq OREGON SPRINqFIELD .toU* Ot-00251'01 Addition: Page 1 of 2 COMMERCIAL PERMIT City Of Springfield Community Services Division Buitding Safety225 North Fifth Street Springfietd, OR9T4T7 Location Of proposed Site: 6590 Thurston Rd AssessorsMap#: 1702g412Lot: Block: Owner: Toshiko Wilson Address: 6590 Thurston Rd Scope Of Work: Electrical Only Install security system for Thurston Market Job Number: 01-00251-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 00300 Subdivision: 541-937-3052 Springfietd, OR 97478 Value: $O spr Phone Number: City/State/Zip: Alteration Contractor Type ElectricalContr Quad Area: # Of Units: Constr. Type: Water Heater: office use -- Land Use: Zoning Code: Bedrooms: Range: # Of Buitdings: Occupancy Group Heat Source: Sq. Footage: Contractor Global Security & Communication lnc l!99 lt" B2Nd Ave, porfland, OR97220-5118 Registration # 69705 Expiration Date 10t10t00 Phone 503-252-1200 To request an inspection callthe, a.m- will be made the same workiworking day. 24 hour recording at726_376g ng day, inspections requested . Allinspections requested before 7:00after 7:00 a.m. wiil be made tn" fofio*ing Required lnspections Low Voltage Construction Typest Occupancy Groups: # Of Buitdings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main: # Of Stories: Current Units: Census Code:Does not apply Height (feet): Proposed Units: Total: Fee Restricted Energy Accessory 03t19t2001 0004701 $36.00 Paid On Receipt# Val ue/Quantity Fee Amount 1 Electrical T Etectricat I r v Job# 01-00251-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0311912001 03t19t2001 0004701 0004701 $2.52 $1.08 $39.60 $39.60 -/o Date r r-lg fol /-{.inltlg .rpproval 225 FIFTB STREET. ie S NGFIELE, BLE TKTCAL PERHIT APPLICATION Ci ty Jo b Nr.nnber A) -e j)-O / COHPLETE FEE SCBEDTILE BELOV OFFICE | 726-3759 1. LOCATION OF INST I^EGAI DESCRIPTION DESCRI Url U &r, Permi ts are non-transfer e and expire if vork i-s not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALL\TION ONLY 'I;I'J#I"::?H3,H':?*ii" Zoning the land use o + SPRINGPIELD, OREGON ?Z667sn"tr'" INSPEGIION REQUEST:' 726-3769 3 A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 5 Vo,uv;{tr' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home' or Modular Dvelling SerVice or Feeder Sum s 8s.00 $ 1s.00 s 40.00 .00 .00 ee uBr aSOvE- t Address Ci ty e Phone Supervisor License Numbe r /^ ?JLE Expiration Date Constr Contr. Number 0 Expiration Date - / -o / S ure fSu ervising Electrician Ovners N,ame TD ) lb //r', I 9tl>,r- - Address Electrical Contractor r,0 Ci ty OVNER TNSTALT,ATION The installation is being made on property I ovn which is not intended for sa1e, Iease or rent. Ovners Signature: DATE: Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps __401 amps to 600 amps _ 601 amps to 1000 amps- Over l-000 amps/volts Reconnect OnlY B LJ f,6' ss0 S60 $100 s130 s300 $40 00 00 00 00 00 00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps -Over 401 to 600 amPs 0ver 600 amps or tbOO voTT 00 00 00 00 40 55 BO 40. 40. 20. 36. $ $ $ss 00 ,r, t/1 6 Phone ? 37 *305 L D. Branch Circuits Nev, Alteration or Exterrsion Per Panel one Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.O0 E. Miscell-aneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Out1ine Lighting_ Limited Energy/Res Limi ted Energy/Comm --X- 5. SUBTOTAL OF ABOVE 7% State Surcharge 32 Admini.s trative Fee TOTAL s $( s %;_+ -? RECETVED B €,/ Lil /-q657