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Home My WebLink AboutPermit Electrical 2001-05-22SPHINGFIELD Job# 01-00524-0', PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01-00524-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 03400 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1001 0001Oth St Spr Assessors Map#: 17033511 Lot: BIock: Addition: ctTY oF SPRfiNGFfiELq OREGON Owner: Springfield School District Address: 525 MillStreet Scope Of Work: Electrical Only new light poles and bases Phone Number: City/State/Zip: New 541-744-6375 Springfield, OR97477 Value: $0 Gontractor Type ElectricalContr Contractor L H Morris Electric lnc 483 Shelley St, Springfield, OR 97477-1966 Registration # 1 B3B Expiration Date 6/8/01 Phone 541-747-0811 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. 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 Electricat Rough Electrical Final Electrical Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: - Prior to cover. -When all electricalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Accessory Total: Job# 01-00524-01 Page 2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0st22t2001 05t22t2001 0512212001 5483 5483 5483 2 $37.00 $2.59 $1.11 $40.70 Grand Total Signature $40.70 5-ZL-o/ Date Jo r, # +qql DEVELOPMENT SERVICES does not aPProvat P to Zoning y-O 225 FI'FTH STREET [f ate SPRINGFIELD OREGON 97 477 riutnorrzed Signature TNSPECTT0N REQT EST : 726-3769 0FrICE: 726-3759 loOt 1. LOCATION OF INSTALI,ATIONf iool /0*A I a(q I,EGAL DESCRT ON S ,i7-l:- city Job Nunber o( - oo 5e Y - ()l COHPIJTE EEE SCMDULB BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost SPF|lr .'IELO i:i i'l IzH i*fr}+-'s SnEEt'. T il s P B t N G F t E LD, o R Wir. fii-- : (54rii{,ff1q/$9ijti FAX 641) 726-3689 CAL PERIfIT APPLICATION Sum 3 A5r n4{ &?*Ki'o.r Lc'f JOB DESCRIPTION L000 sq.ft. or less Each additional 500 sq. ft or portion thereo,f Each Manuf'd Home or Modular Dwelling Service or Feeder i,/EV-/ I t L,f L Services or Fe Ins talfat ion, or Relocation: ;iE[fi$ s 8s.00 s 1s.00 s 40.00 s 3s.00 $ 2.00 3) Permits are non-transferable and expire if vork is not started vithin 180 days of isstiahce or if vork is suspended for 180 da1rs, . . ::iAr L EXPTRF lF T[1F'W0RK 2. CONTRACTOR nlec.tiical Con t Address Ci ty V&t Phone 2l1 qt1L Supervisor License Number Saoc'S Expiration Date Constr Contr. Number olkZy Expiration oate C- C^o{ Signat of ing Electrician ess 00 amps 00 amps Over 1000 amps/vo1ts Reconnect 0n1y $130. 00 $300.00s 40.00 c D. Branch Circuits Nev, Alteration or Extension Per Panel Temporary Services or Feeders fnstallation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 anps - S 55.00 over 4b1 to 600 anps - $ 80.00 Over 600 amps or 1OO0 voT[s see nB' a6ove-- . .t f;B 00 00 00 $so $oo s 100 10ns n.l:' 200 amps or 1 201 amps to 4 40L amps to 6 601- amps to L 000 amps_ ()-/- d Ovners Address SP F,\ 5.-t""= / szt ,n.-/l >F Ci ty ,pa Phone at1"( -(S7f OVNER INSTALI"ATTON The installation is being made on property I ovn vhi.ch is not intended for sale, Iease or rent. Osners Signature: B. Miscellaneous (Service/feeder not included) One Circuit I Each Additional Circuit or vith Service or Feeder Permit I SIETOTAL OF ABOUE 77o State Surcharge 32 Administrative Fee TOTAI _{ cr-t-.L -Each installation Pump or irrigation S Sign/Outline Lighting- $ Limited Energy/Res - $ Limi ted Energy,/Comn S 40.00 40.00 20.00 36.00 tY 5 DATE: RECEI -----T-"7----- t--T14&s CITY OF OREGC.N' RECEIVED OSZZa ----I IS oum ris 1-800-332-2944). 180 DAY SPRINGFIELD Job# 01-00524-0'l PUBLIC PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 2 Job Number: 01 -00524-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 03400 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1001 0001Oth St Spr AssessorsMap#: 17033511 Lot: Block: Addition: ctTY oF SPRfiNGFfiEL4 OREGON Owner: Springfield School District Address: 525 Mill Street Scope Of Work: Electrical Only new light poles and bases Phone Number: City/State/Zip: New 541-744-6375 Springfield, OR97477 Value: $0 Contractor Type ElectricalContr Contractor L H Morris Electric lnc 483 Shelley St, Springfield, OR 97477-1966 Registration # 1 B3B Expiration Date 6tBt01 Phone 541-747-0811 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. 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 EtectriCal Rough Electrical Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main: - Prior to cover. -When all electrical work is complete # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Accessory:Total: Job# 01-00524-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0512212001 0512212001 05122t2001 5483 5483 5483 2 $37.00 $2.s9 $1.11 $40.70 Grand Tota! Signature $40.70 ,- ?-z- o / Date