The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2002-04-17SPRINGFIELD Job# 02-00446-01 COMMERCIAL PERM!T City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number; 02-00446-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 01900 Subdivision: 225Fifth Street Springfield, OR97477 Location Of Proposed Site: 1019 00028th St Spr AssessorsMap#: 17023122 Lot: Block: Addition crTY oF SPRTNGFIELD, OREGON Owner: Roof Gone Address: 1019 28th Street Scope Of Work: Electrical Only N Gontractor Type ElectricalContr lnstall400 amp service Contractor Olsson lndustrial Electric lnc Po Box 70413, Eugene, OR97401-0122 Registration 63473 1t26t2005 Phone 541-747-8460 Date Quad Area: # Of Units: Gonstr. Type: Water Heater: Office Use - Land Use: Zoning Gode: Bedrooms: Range: '.-'.- ,, i*.,,e # of Buildings: I octid@ncyGruup: -, f Heat Eource:. Sq. Footage: - v. af-&r rvil To request an inspection callthe 24hour recording at726-3769. All ins#1trid,{S,B0Y8ffi0$ore 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 Rough Electrical Electrical Service Final Electrical Construction Types: Occupancy Groups: # Of Buitdings: # Of Bedrooms: Handicap Access? ! Area (Sq. Main: - Prior to cover. -Must be approved to obtain permanent power -When all electricalwork is complete. # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: {81T} ffimAccessory:Total 18.{t;lf Uo yuu t'"r Phone the Oregon UtilitY are set forth Job# 02-00446-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Permanent: 201to 400 Amps State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 04117t2002 04117t2002 04117t2002 0411712002 8635 8635 8635 8635 1 $.00 $7s.00 $5.25 $6.00 $86.2s Grand Total $86.25 Signature Date 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:'726-37 69 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 1019 Street LEGAL DESCRIPTION ?-?- D\qoD JOB DESCRIPTION zoning, and approval ELECTRICAL PERMIT APPLICATION 3. COMPLETE FEE SC}IEDULE BELOW A. New Residential-single or Multi-Family per dwelling unit. Service Included: Permits are non-transferable ana eJ$1it if work is not started within lg0 da]nsrrror,zed srgnarure of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Olsson Industrial Electrical Contractor_Elec.lr :[gr_!nc, Address p-o-704l-3 Flr ,OR Phone 74 Supenrisor License Number 33345 Expiration Date 1O-1--O4 Constr Contr. Number 63473 ExpirationDate I-26-O5 Signature of Supervising Electrician Owners Name Roof Gone INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. or@ Senrice or Feeder B. 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 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts seet'B" above D. Branch Circuits New, Alteration or Extension per panel One Circuit Each Additional Circuit or with Service or Feeder Pennit Items Cost Sum $106.00 $ 1e.00 $ s0.00 _ $ 63.00 _1 $ 75.00 _75_a0o $125.00 $163.00 $375.00 $ s0.00 $s0.00 $69.00 $100.00 $43.00 $ 3.oo _ 75 .@ 5.25 6.OO AgU" S,tz.A 8333 E. Mscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 Limited Energy/Res $25.00 Limited Energy/Comm $45.00 5. SUBTOTALOFABOVE lYo State Surcharge 8% Administrative Fee Owners Signature: TOTAL 86.25 city rob N"-ur, 0) - OOtl4 b -(2 I