HomeMy WebLinkAboutPermit Miscellaneous 2000-4-7
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I Job# 00-00534-01 I
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TRAN8#:01-0001168
DATE:APR 07 2000
AMT RECD:2 $ 79.30
CHANGE:$ 0.10
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00534-01
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 1310 Market St Spr
Assessors Map#: 17032533
Lot: Block: Addition:
Tax Lot #:
Subdivision:
Office: 726-3759
Inspection Line: 726-3769
08300 ~
Owner:
Address:
State Farm Insurance
Phone Number:
1310 Market St
City/State/Zip:
Springfield, OR 97478
Value: $0
Scope Of Work: Electrical Only
Alteration
.i-\nENfIUN'n.~_ ._.
, 'V!'~W rUles ado t .7-d....vreqUlres you.
'Iohf/cation Cent: ~d by the Oregon Un ..
Contractor ';1 OAR 952-on-Il(li~rhibW#J/eexpiri!1io'~rbate
v090 y; , "'UTtrrnrough OA noli.
Henkels & McKoy cali. ou may obtain Copies R 952-001.
po box 200009, Portland, ORI~~~I~!he center. (Note: th~:~/he rUles by
,orlh"n.___ . eghnno
r -"'-.. VlIIII"I"Otifi'
Office Us~nh.,_. ~()().,n J' cation
. . . ';>-2144).
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: Sq, Footage:
NvTI(.;E'
To request an inspection call the 24 hour recor~J.f.e-3769. All inspections requested before 7:00
a.m. will be made the same working day, ins9WiiOf1fFEilfliesreAtmt1:li\'pOO,a.m. will be made the following
working day. THORIZEDUNDER 1/1/: IF7fI~Wgal<
~COMM1=!\II'~t"\=l<t' THIS "~RMI'f'11il 'l."'l~
eqrnfeo-Inl>l"'l'<>JomlNRA - ..v,
r .-l00flAVCl. ' "ttiNgf}=~
I Elllcti'lllIi\IO.o. I r!:111
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Contractor Type
Electrical Contr
Phone
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq, Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
04/07/2000 1168
Value/Quantity
Fee Amount
Restricted Energy
1
$36.00
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Job# 00-00534-01 I
Paid On Receipt#
Electrical
04/07/2000 1168
04/07/2000 1168
;/'
Fee
. State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Page 2 of 2
Value/Quantity Fee Amount
I
$2.52
$1.08
$39.60
$39.60
Date
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SPRINGFIELD
'ng
. d has the tallOW'
.. lBSSubmlue .' , d use
ihe to\lOwing prOIB~ot require specIfic an
zoning, and does L/
approval. Q/
2.2.5 FIFTH STREET zoning. -",( - 1 - ~.-o
ELECTRICAL PERMIT APPLICATION
SPRINGFIELD,OREGON 97/Di/.e - cp"\ -
INSPECTION REQUEST: 72~~<i',(tlldSignatufe- City Job Number O~.OO$~LJ-OI
OFFICE: 726-3759
1. LOCATIOt'. OF t INSlALLA)'ION
1~IO 1'\4.A.~. ~ A.
LEGAL DESCRIPTION / 70;3,;1.~ >
'-1 O::t "?Jl..I'"\ f)~OOO (JJ>~e..
JOB DE;SCRIPTION
L",,; \J,.\ +(\,1} I) .
u
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if. work is suspended for
180 days,
2.. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor jI ~ k...,
Address q fj r J 0 /11/ R l'\
Ci ty ~_ ~ II ~hone / - fir,:! //~Al/( t/-'
..
Supervisor License Number 3~ 31-. I? E.!-
Expiration Date j('~OI- ~ooJ
Constr Contr, Number C. .'Jc. C99
Expiration Date '9...//;'-/200 I
Signature of Supervising Electrician
/?aA);t~
ow~ers Name?-ta*'~ ~(VL"/'..",-
Address 1 ~ 1<3 fY1llJ\\~+
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
3.
COMPLETE FEE SCHEDULE BELOV
uni t.
Cost Sum
$ 85,00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300,00
$ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
$ 35.00
$ 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm I. $ 36.00 ..,C
5. SUBTOTAL OF ABOVE ~h...P
7% State Surcharge
3% Administrative Fee
TOTAL
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service 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
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600.amps or 1000 volts
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit