HomeMy WebLinkAboutPermit Electrical 2002-09-17SPRINGF!ELD
Job# 02-0f080-0{
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-01 080-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 14800
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 310 00005th St Spr
AssessorsMap#: 17033524
Lot: Block: Addition:
clTY oF SPRTNGFIELD, OREGON
Owner: Branch Engineering
Address: 310 sth Street
Scope Of Work: Electrical Only
Phone Number: 541-746-0637
City/State/Zip: Springfield, OR97477
Remodel Value: $0
calling the center. (Note: th
Contractor Type
ElectricalContr
MechanicalContr
Two circuits extended for relocated
Contractor
Builders Electric lnc
195 Madison St, Eugene, OR 97402-5030
Comfort Flow Heating Co
1951 Don Street, Springfield, OR97477
Registration # Expiration Date
4296
00460
12t10t2003
6t27t2003
Phone
541485-0922
541-726-0100
Office Use
-
Land Use:# Of Buildings:Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections req
working day.
Occu
MlT SH ALL ExBlBft
ZED UNDER THq NOI
before 7;00
be made the following
Zoning Code:
Bedrooms:
Range:
NOTICE:
THIS PER
Rough Electrical
Fina! Electrica!
Rough Mechanical
FinalMechanical
Required lnspections
Electrical
-Prior to cover.
-When all electricalwork is complete
Mechanica!
-Prior to cover.
-When all mechanicalwork is complete
o{
Job# 02-01080-01
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
Total:
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
09t10t2002
09110t2002
09t1012002
09t10t2002
1 0559
1 0559
1 0559
1 0559
2
$.00
$46.00
$3.22
$3.68
$52.90
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
09t17t2002
09t17t2002
09t17t2002
091't7t2002
09t17t2002
10635
10635
10635
10635
10635
1
$33.00
$3.60
$12 00
$10.00
$3.1 5
$61.75
Grand Total $114.65q- i7- oa-,Q.-a*- hanl
Sisnature U A Date
225 FIFTH STREET
SPRINGFIELD, OREGON 97 477
. INSPECTION REQUEST: '726-3i69' OFFICE: 726-3159
1. LO TION O TAILATION
ELL- ^RICAL APPLICATION
Cit"v Joh Nu t,"r. OZ - O/0 S O - O /
A. Nerv Re.sidentinl-Single or
Multi-Fnrnily pcr du.elling unit.
Scrrice Included:
Itenrs Cost Sum
C
LEGAL DESCRIPTI
JO DES t*Il ON
0"
S not requir€
1000 so.ft. or less
EHdFrPSHiSonal 500
slfnfi 3??o.tion
rne or
r-riccs or Fecrlcrs
Installatiolr, Altcrations or
. Rclocation:
ti,iru
8@awq
_ $106.00
$ 50.00
$ 63.00 _
$ 7s.00 _
$ 125.00 _
$163.00 _
$375.00
$ s0.00
has
speci{ic
Permits are non-transferable
if rvork is not started u'ithin
of issuance or if rvork is suspended
180 days Date
2. CONTRACTOR INST ALlrffdi?d sig
ONLY B. Se
Electrical'conrractor_BL[fufr rS_ lQao* r''C .
Address
: Expiration Date
oopreo
tller lh
Phone
:],:t)$1fi
lrJ0t&n
SuPOf .
€arstr Contr.9() -s
-o
en'ising Electricialr
Orvners Name w
Address 5i11
OWNER INSTALLATION
The installation is being made on
property I orvn rvhich is not intended
for sale, lease or rent.
I8r.:{lrcs
C. Temporary Scrvices or Fcetlers
Installrrtion, Alteration or Rclocltion
200 amps or less'
201 amps to 400 amps
Over 401 to 600 amps
Over 600 anrps or 1000 volts see
"8" abo\re
{. SUBTOTALOTABOVE
7%o Stutc Surchnrgc
8 %, Adnrinistrttivc Fee
Pcr Panel
-l-$43.00 {l3C
ith Sen ice
$3.00 ic'c'
E. I\'liscellaneous (Serrice/fccder not inclutled)
-Each installation
Pump or irrigation 550.00
Linrited Energr,/ftes $25.00
Linrited Energ'ry'Comm $-15.00
l\'Iinimunr Electric Pernrit Inspcction f ec is S15.00 * Surchirrgcs
$69.00
$ 100.00
DAY
nc
4r .))U
j
Oryners Signature:
TOTAL 52,?o
$ 19.00 _
Branch Circuits