HomeMy WebLinkAboutPermit Electrical 2002-03-22SPRINGFIELD
Job# 02-00324-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00324-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00500
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 202 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition:
ctTY oF SPRINGF7ELD, OREGO^
Owner: Springfield Utility Board
Address: 202 South 18th Street
Scope Of Work: Electrical Only
Low voltage - Security System
Phone Number:
City/State/Zip:
New
541-726-2396
Springfield, OR97477
Vatue: $O
ContractorType Gontractor
il0ylut [Ho Yt.rti ii,
Registration #
65149
Expiration Date
612812004
Phone
541-461-5678
follow rules
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To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00
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 I
Low Voltage
(Sq. Feet)
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Minimum Electrical Permit Fee 03t22t2002 8378 $.oo
Range:
Gode:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Job# 02-00324-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Restricted Energy
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
03t22t2002
0312212002
03t2212002
8378
8378
B37B
1 $45.00
$3.1 5
$3.60
$51.75
Grand Total $51.75
Signature Date
225 FITTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:'t 26-31 69
OFFICE: '726-3759
1. LOCATION OF INSTALLATION
ZDZ 5 /jfl't
LEGAL DESCRIPTIONt1 az 3b m*
JOB DESCRIPTION
Permrts are non-transferable and expire
if work is not started within I80 days
of issuance or if work is suspended for
180 days.
Electrical Contractor *nitfo I Se AtYr \
BIAddress
ciqy -LzaLW--pnone 4 b I - 5b7gJ
Oregon
Electrician
Owners Name
Address
ELEC]...JAL PERMT APPLiCATION
3. COMPLETE FEE SC}EDTILE BELOV/
A, New Residentral-Single or
city Job **,,o* 0) ^ 001)'/ - o I
dwelling unit.
Items Cost Sum
$ 106.00
s 19.00 _
$ s0.00
Each
Modular Dwelling
Service or Feeder
Installation, Alterations or
Relocation:
200 amps or less
201 arnps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
or
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
$ 63.00 _
$ 75.00 _
s12s.0o _
$163.00 _
$375.00 _
$ 50.00 _
^ i'lrL PEFMIT SHALLEXPIRE IFTHEWORK
" ilffiH*"ffiiffif,ijffifuNgf R rHrs PERMTT rs Nor
rt)r','lGNCao onlS nsnNDoNED FoR
200 amps o{{+611)Ay pFBtOD _ $50.00 _
201 amps to 400 amps $69.00 _
Over 401 to 600 amps $100.00 _
Over 600 amps or 1000 volts see
"B" above
ci'vSprrrq#e hl-pnoo 746 - 845 I
OWNER IN'TAILATION
The installaton is being made on
properry I own which is not intended
for sale, lease or rent.
D. Branch Circuits
rr/ New Alteration or Extension Per Panel
One Circuit $43.00
Each Additional Circuit or with Senrice
or Feeder Permit $ 3.00
E. Miscellaneous (Sewice/feeder not included)
-Each instaliation
Pump or irrigation $50.00
Limited Energy/Res $25.00 _LimitedEnerry/Comm i $45.00 4S tO
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4s to
3.t53.bo
5l .75
5. STIBTOTAL OF ABOVE
'7o/o State Surcharge
8% Administrative Fee
Owners Signature:
TOTAL
l'he
sq.ft. or less