HomeMy WebLinkAboutPermit Electrical 2000-03-10Page 1 of2
IRANS#:01-00008?4
DATE:HAR 10 ?ilOO
Al{T REID:I $ 51.?0
IHftNEE:$ I.?0
IASHIER:05?
SPHINGFIELD
COMMERCIAL PERMIT
City Of Springfield
Gommunity Services Division
Building SafetY
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3895 E 00019th Ave Spr
Assessors MaP#: 18030312
Lot: Block: Addition:
Job Number: 00-00349-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00501
Subdivision:
clTY oF SPRINGFIELD, OREGON
Owner: Learning Services
Address: 3895 E. 19th Avenue
Scope Of Work: Electrical OnlY
Phone Number:
City/State/Zip:
Alteration
480-515-2142
Springfield, OR97477
Value: $0
Contractor TyPe
GeneralContr
ElectricalContr
Contractor
All Roofs Northwest lnc
4089 W 1 1th Ave, Eugene, OR
97402-5623
Oregon Electric Service
Po Box 2237,Eugene, OR 97402-0070
Registration #
54264
Expiration Date
912t99
Phone
541-3424177
541-343-1681380019t14t00
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 at726-37.69. All inspections requested before 7:00
i.m. rirrr ne made'the slmJ*ort<ing day, inspectio-ns requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Roofing
FinalBuilding
Rough Electrical
Electrical Seruice
Final Electrical
-Prior to cover.
-Must be approved to n permanent power
-Prior to installing any roof covering.
-When all required inspections have been approved and the building is complete.
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'i}XION SI lIU\IU]d SIHI U]ONN O]ZIHOHINV
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:3CtroN
Job# 00-00349-01
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:
Page 2 of 2
Accessory
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge For Building Permit
Building Administrative Fee
Tota! Building
03/1 0i2000
0311 0/2000 894
894 $.00
$.00
$.00
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
03i 1 0/2000
03/1 0/2000
03t10t2000
894
6894
894
$45.00
$3.1 5
$1.35
$49.50
Grand Total $49.50
Signature Date
,/t
Job# 00-00349-01
-C,'TY OF OBEGO'U
225 FIFTE SIREET
SPRINGFIELD oREGoN 97477
INSPECTION REQIIEST:726-37
oFPICE: 726-3759
1. LOCATION OF INSTALT,ATT
-l'
PERHIT APPLICATION
b Nurnber 00-003 4q-0
FEE SCEEDIIIJ BELOV
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
I tems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Modular 'DvelIing
Service or Feeder
s 8s.00
$ 15.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amPs
-
601 arnps to 1000 amPs-
Over 1000 amps/vo1ts
-
Reconnect 0n1Y $
c.
e
Date
Authorized
rq
ON
h.v.;
LEGAL DE
OB
Perrnits are non-tr
Electrical Contract
Address
Ci ty 3q_\-ILq I
-f
exDlre
Sum
.00
.00
.oorBil aE6!G-
$40
sss
sB0
see
/feeder not
if vork is not started vithin l'80 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.^ATION ONLY
s
s
s
$
100
130
s300
00
00
00
00
00
00
50
50
40,upervi r License Number /:qS S
Expiration Date /O -Dl -ol
Constr Contr. Number
Expiration Da teq -t$-OO
of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
-Over 40L to 600 amPs
0ver 600 amps or fOOOETtsSignatu{et7k 6"-(0o^
Ovners Name
Address :a -t^o
Ci ty Phon")-(FQ(73
OVNER INSTALI.ATION
The installation is being made on
property I ovn vhich is. not intended
for sa1e, Iease or' rent.
0sners Signature:
.DATE:
Branch Circuits
Nev, Alteration or Extension Per Panel
t $ 3s-oo SEI
D
E
One Circuit
Each Additional
Circuit or vith
or Feeder Permi
Miscellaneous (S
s 2.00 tryServi
t
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
SUBT0TAL oF ABovE q
7% state Surcharge
32 Administrative Fee
5.
$ 40.00
$ 40.00
s 20.00
$ 36.00
-t,
RECEIVED B
5
TOTAL ,1q,5
oo
qr
o
A^,
I
a.-
.8.
I
SPNTiIGFIELD
Paoe 1 of2- TRRNS#:01-000090I
DATE:HAR 1] 2OOO
AHT RECD:? $ ?61.80
IHANEE:$ 49.50
CASHiER:05?
COMMERCIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3895 E 00019th Ave Spr
Assessors Map#: 18030312
Lot: Block: Addition:
Job Number: 00-00349-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00501
Subdivision:
ctrY oF SPR|NGFIELD, OREGON
Owner: Learning Services
Address: 3895 E. 19th Avenue
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
480-515-2142
Springfield, OR97477
Value: $30,000
Gontractor Type
GeneralContr
Electrical Contr
Contractor
All Roofs Northwest lnc
4089 W 11th Ave, Eugene, OR
97402-5623
Oregon Electric Service
Po Box 2237, Eugene, OR 97402-0070
Registration #
54264
Expiration Date
9t2t99
Phone
541-342-4177
541-343-1681380019114t00
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 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
Building
Roofing
FinalBuilding
'ollow
Rough Electrical
Electrical Service
Final Electrical
- Prior to installing any roof covering.
-When all required inspections have been approved and the building is complete.
qg..),, .c.
OTICE:
POWHIS PERIVIIT SHALL EXPIRE IF THE WOHK
AUTHORIZED UNDERTHIS PERMITIS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
callino
numbel
You IL
Job# 00-00349-01
l i(rv
Job# 00-00349-01
# Of Stories: Height (feet):
Gurrent Units: Proposed Units
Census Gode: Does not apply
Total:
Page2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Permit
State Surcharge For Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Building Administrative Fee
Tota! Building
Building
03t13t2000
03/1 0/2000
03/1 3/2000
03/10/2000
03/1 3/2000
902
894
902
894
902
30,000 $193.00
$.00
$13.51
$.00
$5.79
$212.30
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total
G
Electrical
03/1 0/2000
03/1 0/2000
03/1 0/2000
b894
894
894
$45.00
$3.1 5
$1.35
$49.50
$261.80
3-/z-oo
sig Date