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HomeMy WebLinkAboutPermit Electrical 2002-4-18 ,<> r-225,Fw-lli~mET n !'\ Fii?a r>" \ I"'SPRINGFIEDD, OREGON 97.4771.8 , ".~ ~;I ", '"". " " ".' '" \'" ,\~'JNS~EC~19l;1.\<f;QBW.~\\FW1 \~?,,:i "..d:.,r'i..... OFFICE'7.}6:3,\?9(.".'..:.I:!... I.,..",..}.,;,,;]] ~~._~: ,j [-r ;'" tT~;;J L~f iF: \X',<! \,:.', )'*~'l r',-f \"';';} I ,) I LOCATION1OFINSTALLATION ,,--- i." l'S "~ 0'"3" 1.'-'IJI1'4iXld <; I' . 2. CONTRACTOR INFALLATION ONLY B.Services or Feeders' I~~\ ' ,. , I" Installation, Alter#ns nr Electrical'S~nti~cto~C i'l VIew "L-~IC. J"''' Relocation, ~4:".'. . Address PO.; 13.1 70,-t,9J //' c". 200 amps~~!'>' "<.~<' .:;, ,\ , . //;;" . ~.. 20 I al1l~"% JOO. amp~.r Cil)'..€~.:"....c.. Phone I.Y7.-U,9.-e.. ".', ,> 40k-.~~~<1~600 a[\l~s . i ~. . \ \ ' ./ .. .,;,,:.,' ..-1: (:i' 'J~JFan!RS:!~ IQ.Oo'al;lps supervistr Licen:;'NuTber ./~/;~'f'S:;~i/;.).;1{;'~;~~~~~~i~J!ts . Expiration Date .~ 1I1I,'jj',,.;t,".i{, '. '.. ~ ",,j- ('f/" .,;.,<(), ",\ ,~., , .,,/ . -" '" ,h'" . ...Ii'<,' 7'7 ' . . . ' . f' ,', ."r",:, ,e .....' c.*emporar~rvices, or Fe:ders,o. " , . '-Constr ~ontr. Number ?,," ~LB '. ", '.' ..;"In~alla~, AlteratlOnor,R~catJ~n 'f:..", " i" >, .~ .----~-~ __' ",' . ~ '.! .;f'" "")'{0~" -o,IS'~o~'(:-,. ':~ ~ .: '.' ,.,. ',ExpIratIOn Date .2. -13'".O~' > 200 amps or less0o?~ ~o~ ",,0' J::,f::,~ $50.00 _ ...., .". "---..-..:....__.. 201 amps to"iQo;ai4ll? q}0 Q,f,;)'I; ~0"" $69.00 _ , Signature ~f ~upen'ising Electrician .~ Oy"E 401 tQv,6()':ifrJl;ff'''''Oo{?' 'I/) ,"\i f'~'" " $100.00 _' \ ...., Over~p~~~~~~""~:lj~~' > ~ . , - "B"'aii;;",Q\l ~~ .i"tJ 'o1/)""_'1/),0'~O~~ ",Y'" ....<::tl.~... " ~ ~\V .if>~'0" r;;;,'S' o~~ ,'S' .~ "', .;, '- -Ji, .' <-~ "'I ~\l 1:1'" .~v 1>,0' .&~" \.b<, . ' " .. D, '~\'~l!.~\~');~15~<Q'~ ~o~-0':'1:'1,7 Owners Name r ;.w,fl- _tkfcl,~ ~~O.N~\I>~a!i9<jl~t<2.t'\}~sj1I"Per Panel, .. . .' . , 'j" is-\<:J~<:r, ~(I"v0 O"!O~ . ( . Address 52~ Cm,~,^:-;.j IS/. ~O~3't!',.;&~f).uif'0~'S'~~,~"'" . $4300 & " '-$' f:l~ ~""~"o. ~0 , '. - > f' F2J <:l "lj'!> ~v.:>.0 ('fj . Phone Eacl,<-~'dtlitional Circuit or with Se~ce /. or Feeder Pe,;,nit. ~ $ 3.00 -2.. f;'" ~~~;~:' h' .~;'; ;,," ~ ~.y , [-',-L i " ., .j>'q C }r:"'~~ ~:? :'~: .... , ! ," l" " I , l " , i d. J b. j-, . , . L_~ ~ ' ~ . i f. , I . . ;l :'i r:- '. , ELACAL PERMIT APPLICA TrON' ': '. . 'J [j~~L~':\ !;[:~-m:~:,.(:t>(~;}~('{-::-~:':::'r;;-:,_ " " ,~~~~:::~:~,::~,;,:,',_ f.., ,^~." " : ii:pty~ob ~~,:"ber D2 ,~O.()Y5;3D.OI\ \L;q k \-)~ L~~,0i:'w:-i::::;:L'\' -~" _,+~:,~:\.; l ~- c'-"" -, :x<: ;{, ",' '3,:.COMPLETE FEE'SCI'rEDULEBELOW . " !li:i.~>; J fi\'t::->,""f ~:~h(.< .';'>,~,(:.,<<': "t,::'"'" ,~::, '-'; .h.:_.<<..l l'if."":' ".'.:1 .;:. , ~:"t'". +., .<:'-"" _ , '-'..' '". 1- 12"':'..<",',1.."""'''./ '...".,",.....:'.:<:. .-.'" -'. <, " A,'Ne,y')'l.esidential'SingJe-or" . . Multi-Family per. dwelling unit. Service Included: LEGAL DESCRIPTION pOl.. 3)'1/ o3{oa JOB DESCRIPTION The.following project as s~bmilted has the fb\lQQi~~.ft. or less tA I (l..~ Ht't.iI'zon~~~1lITe specific lani:ooll additional 500 _,..,......~a.,. '" /I ~ sq. ft or portion t ZonJa" t .~ Permits are non-transferable and "-'PHI. 4 :::~ if work is not'started wilhllllJ on A_yo -/'fI .() ~ Each tv!anufd Home or of issuance 9rif work iS~w,j'ifIgl/Inature ~ Modular Dwelling' 180 days. '~.:. .)l;;l\-l\,.t;'orFeeder I,' '>:. ,.s.' I ,/ J" '. City OWNER INSTALLATION' The installation is being made on 'property I o\m which is not iillended'. for sale, lease of rent. . . j Items Cost Sum' " l .~_. ..... $106,00,' , ~ :. ~';-'- ~ ~. .' -~I"-> . $ 19.00 ~ ... . '.'~ $ 50.00 ..." ~..' .: " : " '\. ., i \. , " ': ' \, --,,:$63.00~ ' ~$.75.00_. $125.00 i $163.00 $375.00 $ 50.00_: " . j ,; '. . . . E. l\liscellaneous (Service/feeder not included) : . -Each installation >; . .' Pump'or;'i'rrigatibh :,' \. $50.00 " Signlqlltline Lighting -'$50.00 . Limited EnergylRes $25.00 ~Liinited Energy/Comm' $45.00,~ , -, Owners'Signature: 190: ~:l3If-lS\!3' : 39N\!H3 S\:'9S $,4:0838 lW\!' lOOe at 8d\!:31\!O lS98000~JO~#SN\!81 '. . I\Iinimum ~lcctric Permit Inspection Fce is 545.00 + Surch!lrgcs . . J," ( . \, 4, SUBTO~AL OF ABOVE' l{ 7 7% Staie Surcharge -;J Lt,,>. 8% Administrative Fc~ . '3. ~z. s{. ?L .. TOTAL i- -. -I Job# 02-00453-01 I . ~ Page 1 of 2 TRANS#:01-0008693 DATE:APR 22 2002' AMT RECD:1 $ 0.10 2 $ 61.-65 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00453-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5803 Main St Spr Assessors Map#: 17023341 Lot: Block: Addition: Tax Lot #: 03600 Subdivision: Owner: Address: Reynaldo Guinn 5803 Main St Phone Number: 541-747-5544 City/StatelZip: Addition Springfield, OR 97478 Value: $0 Scope Of Work: Electrical Only Wiring for new equipment ou...... Reg istratiOn{#\\~eE~Piraiibn,Date -r\'.i>'<'- OleO.o" ...IOt'\ Ralph J Veter o,'.c765~8.." \\'1e S 2!d312005.,. ..\ I'" 0'" \e ~ 5'/,.'Vv PO Box 70393, Eugene, OR 9~4.0,1~1 S ado?\e \\'10se Ill" 0"'''' 9 \es 'o'! I"' ~ 1Il\e \el, oug". \\'1e III Mechanical Contr Reynaldo Guinn \0110 ';10\'1 ce~ aa' a \\'1100\es 0\ 'e""O\'le ^ ".,~", aQ" . c ~ e\e' ~ ~io" 5803 Main St, Springfield, 0~~9A1I~9S'2.:"'a'/ O'O\~~\'IlNO\e:'.~~\\1 NO\\\iC~ offie~u1~- '."" ce"OlegOI\ ~;'2.2~" ca"'" v \01 \\'1e. .'00n.. Quad Area: Land Use: f\U~'Oel ce\'l\el IS , # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: . Heat So_If. . Water Heater: Range: S~",~~,[~~' To request an inspection call the 24 hour recording at 726-3769. All ins~~~~i~:oo a,m. will be made the same working day, inspections reque~~~\~~~~~e following working day, \\\l ~Y' ~ '\),~ \~ t:O . . R' d ~ I~l .,~ ct~ "f)t\. equlre ,w.> y' ~"'~- 1 Electrl ~ . Prior to cover. - ~ .When all electrical work is complete, Contractor Type Electrical Contr Contractor Rough Electrical Final Electrical Mechanical Rough Mechanical Final Mechanical . Prior to cover, -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. ;- "":) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Phone 541~87-1292 541-747-5544 .r,....-'. -I -.:4 Fee Minimum Electrical Permit Fee Branch Circuits W/O Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Hood and Exhaust Minimum Mechanical Permit 8% Administrative Fee. Mechanical Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total 0; 0... ~ , Sig~ature Job# 02-00453-01 Paid On Receipt# Electrical 04/18/2002 8652 04/18/2002 8652 04/18/2002 8652 04/18/2002 8652 Mechanical 04/22/2002 8693 04/22/2002 8693 04/22/2002 8693 04/22/2002 8693 04/22/2002 8693 . Page 2 of 2 Value/Quantity Fee Amount 3 $.00 $49.00 $3.43 $3,92 $56.35 1 $9.00 $36.00 $3.60 $10,00 ' $3.15 $61.75 $118.10 tj- C?-o< Date