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HomeMy WebLinkAboutPermit Electrical 2000-6-12 .. I . I Job# 00-00923-01 I . 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 ~ 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. ~ ~ . 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 . Page 2 of2 Value/Quantity Fee Amount I 1 Date $50.00 $3.50 $1.50 $55.00 $55.00 . . 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'. .' 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,--- ~,?I) I,e,n <0:;,00