HomeMy WebLinkAboutPermit Electrical 2000-6-12
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I Job# 00-00923-01 I
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Page 1 of 2
TRANS#:01-0002111
DATE:JUN 12 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 5256 Main St
Assessors Map#: 17023331
Lot: Block:
Spr
Addition:
Owner:
Jane' Overpeck-Gonzalez
po box 578
Phone Number: 541-741-4962
City/State/Zip: walterville, OR 97489
New Value: $0
To request an inspection call the 24 hour recording at 726-3769. 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"'uII'" J.Ju . .
working day. ~, I to", ,v:",v' <!\,J'd'b';.iheOregOn Utilil-
tollow ru\esadopt~''''ncc'''la~ ~\r::' 3S'lor ..
~otitlCC',lIOJ" UU"'''''. ' 'J' Ol'l.,-,o"-"v
n Ol-\h~o2-(j\n-UO "~'~~~i~~ 0\ ti1'o [0\25 b.
J090. You may otlta\ .'oin. thE tSq,JiIO,l€
calling ;h8 C~:~;~~~n UiilHY Noti\ication
number tor th-. """,\,r.,.,';.,?"\44)'
(;p,n1,?", co . - , .h ~
Address:
Scope Of Work: Electrical Only
electric service change
Contractor Type
Electrical Contr
Contractor
Lr Brabham Inc
68 W Q St, Springfield, OR 97477-2142
Registration #
8699
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Required Inspections
Electrical
Rough Electrical
Final Electrical
-Prior to cover.
- When all electrical work is complete.
Construction Types: .
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r ..1)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Job Number: 00-00923-01
Office: 726-3759
Inspection Line: 726-3769
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Tax Lot #: 04500
Subdivision:
Expiration Date
12/18/2000
Phone
541-747-6638
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Height (feet):
Proposed Units:
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
___ . .. '~CD TUIC:: PF.RMIT IS NOT
AU I r1unl~'-"'" ..... -- -
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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Fee
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00923-01
Paid On Receipt#
Electrical
06/12/2000 2111
06/12/2000 2111
06/12/2000 2111
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Page 2 of2
Value/Quantity Fee Amount
I
1
Date
$50.00
$3.50
$1.50
$55.00
$55.00
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DATE:JUN 12 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER:061
ELECTRICAL PERKIT APPLICATION
City Job Number.no-o0923 -Of
The following project es submitted has the following
zoning, and does not require specific land use
approval.. c.e-
225 FIFTII STREET ZOning
SPRINGFIELD, OREGON 'fJ.{tl7 t;.-f:>-~
INSPECTION REQUEST: 726-37ji2 cI<.."u
OFFICE: 726-3759 AuthorIZe Ignature
3.
1.~CATION OF INST~LATION
~Z5fo 7:Jd..f/:/AJ StK. .A.
LEGAL DESCRIPTI~77Me- (),[rTl+van)
GJ JOB DESCRIPTION / I
l13crnlC'. St::.r<V(t'!.G Lf7~AlGe:r
If /-;)/)
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
Electrical ContractorL.R;Brabham, Inc.
Address 68 West "Q" Street'
City Springfield
Phone 747-6638
Supervisor License Number 14735'.
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Expi ra t ion Da te
10/01/01
08699
Constr Contr. Number
Expiration Date
12/18/00
Signature of Supervising Electrician
~ A_.//
- / D
Owners NameJIW~ 6i/ew,0E!L.k...- G-1mJAI€:)'
AddressP-O,6~K... S78
Ci ty!A)//lfra4. VI tit;;;" Phone 74/- t./q(p Z-
OllNER INSrilrflr6N
The installation is being made on
property I owr. which is not intended
for sale. lease or rent.
Owners Signature:
---------------------------------------
DATE:
rt.:....r.Ll''1 v:
RECEIVED DY:
COHPLETE FEE SCUEDULE DELOV
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular 'Dwelling
Service or Feeder
.B. Services' or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
SiA. ----
$ 50.00 lJ
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
71% State Surcharge
3% Administrative Fee
TOTAL
200 amps' 'OT less
201 amps.to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above'
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
5tJ,---
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