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