HomeMy WebLinkAboutPermit Electrical 2000-11-27
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Job# 00.01720-01
Page 1 of 2
TRANS#:01-0003871
DATE:NOV 27 2000
AMT RECD:2 $ 70.40
CHANGE:
CASHIER: 059
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225 North Fifth Street
Springfield, OR 97477
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01720-01
*
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 5475
Assessors Map#: 00000000
lot: Block:
Owner:
Address:
MAIN ST Spr
Tax lot #: 00000
Subdivision:
Addition:
Capital Consultants Inc
2300 SW 1 5t Ave Suite 200
Phone Number:
City/State/Zip: Portland, OR 97201
New
Value: $0
Scope Of Work: Electrical Only
225 Amp Service and 2 circuits
Blockbuster
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
...-----
nu I IVI....
Contractor THIS PERM~e,gi!1~!:.'!t!~!!1:#f.~E!;xp.irntjc;lnle.ate
Builders Electric Inc AUTHORIZr5lft!!~DERTHIS P121.~O/.03) NOT
195 Madison St, Eugene, OR 9G~f.i.n~r.<CED OR IS ABANDONED FOR
Offi'(!'e~U's~t') nAY PI=i=lIOD.
land Use:
Zoning Code:
(VNSPR) Wd Frame-SI Bedrooms:
Range:
Phone
541-485-0922
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
Store
~~l I t...l'l ~
To request an inspection call the 24 hour recording)~!J'7.26.;3769.ltAllinspections requested before 7:00
a.m. will be made the same working day, inspectiom!i[,~H~stgQia.f!.er 7:o.0,a.m"willbe made the following
working day. , OAR 952-001-001LJ ,nrough 01-\.\ .,,,,,
R. ,!'Ion 'd/r.," m<lllt'='hl<lin Gooie< ')1 'n' . <'-'-
equlre nspec Ions . . ,
~lUu.f11r.~-"r.mnH It'Jotd. ((k tdl~lJl.v, .:.
:-:l:~I!c.tricalhc(')t~on Utjlity NotiticatlOl.
-Prior to cover. Center is 1-800-332-2344).
- Must be approved to obtain permanent power.
-When all electrical work is complete.
Construction Types:(VNSPR) Wd Frame-Spr
Occupancy Groups: Store
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Rough Electrical
Electrical Service
Final Electrical
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
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Fee
Permanent: 201 to 400 Amps
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00.01720-01
Paid On Receipt#
Electrical
11/27/2000 3871
11/27/2000 3871
11/27/2000 3871
11/27/2000 3871
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Page 2 of 2
Value/Quantity
1
2
Date
Fee Amount
$60.00
$4.00
$4.48
$1.92
$70.40
$70,40
. bmined has the lollowing
The following project 8t 5 su ire specific land use
zoning, and does no requ
approval. (l a...-
Zoning ,
22.5 FIFTH STREET Dale 1\ ' 6-.1, ~J
SPRINGFIELD, OREGON 2"lA7iled Signature
INSPECTION REQUEST: ~t~-3769
OFFICE: 726-3759
1.
LOCATION OF ,Il'!STALUTION
~4 -:} C; tv, ill N\.
LEGAL DESCRIPTION
JOB DESC~PTION
JIAA) 'd::.';:J..r::) AMp
Sll'b.BAM
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days,
Supervisor License Number
?1'2. gO -'S
Expiration Date'/O':'/,-O I
Constr Contr. Number 4ZQ(p
Expiration Date /2-(0-03,
Supervising Electrician
O~ners Name
(/ ~ / /...
f"..~~ Co,,~Jd
v
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number OO-{)f~;)...CJ...07
3. COMPLETE FEE SCHEDULE BELOII
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items
Cost
Sum
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'D~elling
Service or Feeder
$ B5.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~oO
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'aT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
"
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Servi~.
or Feeder Permi t d-
$ 35.00
$ 2.00 4.()O
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 $ 36.00
5. SUBTOTAL OF ABOVE! /14' 00
7% State Surcharge '-' ~.ce
3% Administrative Fee l.q;;l.
TOTAL '/o.'i(J