HomeMy WebLinkAboutPermit Electrical 2000-01-21..
SPRINGFIELD
Job# 00-00092-01
Addition:
Paoe 1 of2- TRANS*r01-000033i
DATE:JAN ?1 200i
At,tT REID:I $ 40.?i
CHANEE:
IASHIER: 05i
COMMERCIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 117 S 00014TH St
AssessorsMap#: 17033632
Lot: Block:
spr
Job Number: 00-00092-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04401
Subdivision:
ctTY oF SPR|NGF|ELD, OREGON
Owner: LLC INVESTMENTS
Address: X
Scope Of Work: Electrical Only
THE WOODSMAN NEW CIRCUIT
Phone Number:
City/State/Zip: X, X
New Value: $0
Gontractor Type
ElectricalContr
Contractor
M & K ELECTRIC
26440 COON RD, MONROE, OR 97456
Registration # Expiration Date Phone
541 -847-561 5
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jss
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour 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
Rough Electrica!
Fina! Electrical
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:
-Prior to cover.
-When all electricalwork is complete.
Accessory:
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On ReceipH Value/Quantity Fee Amount
2Branch Circuits WO Feeder or Service 01t21t2000 0000330 $37.00
-Jo6f00{0092-0t Page2 ot2
Fee Paid On ReceiPt#ValuelQuantity Fee Amount
State Surcharge For Electrical Permit
Electric Administrative Fee
Tota! Electrical
01t21t2000
01t21t2000
0000330
0000330
$2.59
$1.11
$40.70
Grand Total
$40.70
Date
CITY OF SPR @BE€Cff
app.oval
D.1tu
Zontng '6b
SP .iFIELl)
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to i-000 amps
over 1000 amps/vo1ts
-Reconnect Only
200 amps''or less $
201 amps to 400 amps
-
$
over 40L to 600 amps
-
$
Over 600 amps or 1000-76fTs se
DATT:JAN 21 IOOO
ffl{T RECD:2 $ 40. ?0
- IHANEE:
IABHiER:059
$ s0.00
s 60.00
s 100. 00
$130.00
s300.00s 40.00
bove
$ 3s.00
$ 2.00
Arllnorlzed srgnature
225 FIFTE STREET
1. LOCATION OF
c
o3 6 )--
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.,ATION ONLY
Electrical Contractor
I9
Address Z.b q httot 8/ -
EI.ECTRICAL PERHTT APPLICATION
Ci ty Job Number oooooqa.ol
COHPI,ETE FEE SCMDULE BELOV
Nev Resi.dential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
SPRTNGFTELD, oREGoN 97477
INSPECTIoN REOUEii : 726-3769,4 r.14oFPICE: 726-37s9 Ll t
3
A
Sum
P g I
c,
/>'
B
c
Ci ty
Exp
Supervisor License Number z7 e)
Expiration Date o
Constr Contr. Number
z-@@ /
Temporary Services or Feeders
Installation, Alteration or Relocation
iration Date
Signature of Supervising Electrician
rs Name
V( ?4 (s
Address
Ci ty_ Phone
OVNER INSTALI,ATION
The installation is being made on
property f ovn vhich is not intended
for sa1e, lease or rent.
Orners Signature:
DATE:
erBra
D. Branch Circuits
Nev, Alteration or Extension Per Panel
40.00
55.00
80.00
LLC.
One Circui t i
Each Additional +
Circuit or vith Serviceor Feeder Permit I
N
zi"9{.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/0utline Lighting- S
Limi ted Energy/Res $
Limi ted Energy/Comm S
40. 00
40. 00
20.00
36.00
5
RECEIVED BY:
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KtsU!;IfT fr: