HomeMy WebLinkAboutPermit Electrical 2001-3-9
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DEVELOPMENT SERVICES DEPARTMENT\ s submitted has the tollowing
The follow,ng pfOJat a , ,
zoning, and does not require specIfic land use
approval., st
Zonmg
1-, 01.01\
9 '?l/17 ' c(-,vJ
7'2l\>!>!YMIgligna\ure
1. LO"fiZl^~<!"ST:1i:>- S? J I ^5;~O ;;:;;:;;';;;;::;":0' L .~,.
LEGAL DESCRIPTION Service Included:
.. _ In, Items Cost .' Sum
~~O" o~~\
~ f\,d\r l"'~ L]:;,>,/ ;AnJ-:1.!
t\l I t:..1......... , .. - . . . -'-.
p~fni,i';tsJlate(lnoh'-'t fanLs'feifable land' expire
rHtiilot'k)lis;,not, s tat'tedllwHhin11180 days
iqbA?,s_u_a.!lg~l OYJliJ,hW.O.lLkllJ,'S"su?pended for
&!}90?'!-Xe ,nay obtain ~r)pief at the rules b:,
callitHl :hf, ,:oni;;, ,.\lnt,,,, ;~lP tl'!ll'!phone
2. CONTRACTOR .INSTALLATION ,ONLY B.
IIUf1IUt;l IUI tllC VII:::1,YV' '.".I~IlIl\, ,,'uufh..al1U~ n-.: _ ! . .'
Elec tri~at'c~n i:r:'~'to';,ffi~\V) U<.l!J.MA C
., . Address ~~J9Io titi-J-i. ,llmJlil..!\ ed .
Ci ty_ 1''18 Phone icJldf'f/3
Supervisor License Number ,-;;j jCf :)
Expiration Date lull lvl -
Constr Contr. Number!/ 7(,., 30~J
Expiration Date Iv 11'01
j. / El ..
rV1s1ng ectr1c1an
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Signat r
'"\ { ,(,lA~
"" Owners Name. L.r"~/', I?~icr
'-... Address~{)(" Mldfl ~).
~ Ci ty ~(';",f;llj Of Phone 74/; -/)l{fJ("
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
'W0:iJ3IHSI:!::J
O~' 6 ~f-IDigna ture:
OO'OS $ 1:0::J3iJ lWI:!
1002: RO >1HW: :;11':1(1
1~9ljmi:u '1I"I~oaJ. ----tJj-,-Cit--;or-------:---
RECEIPT 1I:~.5 J '
RECEIVED BY: i> .(l'l ~" frVV
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726,3689
~LECTRICAL PERMIT APPLICATION
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City Job Number (J / ()6 dOC( 6/
$ 85.00
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
;>.1'1......,..- .
Modura!? IINeil:hng
Serv~'f:,!!3 prF;FveederALL ,...._'__ $ 40.00
~ '''' un ,-", ,c.dFTHEWORK
,f!IITW'DI-r::....". "'....ER
SerVl ces, or' Feeuers THIS PERMIT IS NOT
Ins ta'm.'aHpn~(~1-!!",t;e ~t~Wt)ONEO Fa
or Re10cation:"'PER . R
M'" roUUA, 100,
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
$ 15.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 100U
$ 40.00
$ 55.00
$ 80.00
see liB"
above
volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
I
$ 35.00
35.V'U
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
2.00
'2.. \)'D
$
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted EnergylComm $ 36.00
5. SUBTOTAL OF ABOVE . ?/. 0 '0
7%, State Surcharge ? '<.'1
3% Administrative Fee I, I I
TOTAL 4 n.""'J "
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I Job# 01.00209-01 I
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Page 1 of2
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00209-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4605 Main St Spr
Assessors Map#: 17023231
Lot: Block: Addition:
Tax Lot #: 05300
Subdivision:'
Owner:
Teresa Capfer
4605 Main Street
Phone Number:
Address:
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Scope Of Work: Electrical Only
Mom's Fast Stop
Contractor Type
Electrical Contr
Contractor Registration # Expiration Date
Cannon Electric
88396 little dearhorn rd, springfield, OR
97477
Phone
541-747-0959
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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
working day,
Final Electrical
Required Inspections
I Electrical
-When all electrical work is complete,
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
03/08/2001 4631
Value/Quantity
I
Fee Amount
Branch Circuits W/O Feeder or Service
1
$35,00
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.j
Fee
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
Signature
Job# 01-00209-01
Paid On Receipt#
Electrical
03/08/2001 4631
03/08/2001 4631
03/08/2001 4631
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Page 2 of 2
Value/Quantity
1
Date
,,~~..-
Fee Amount
$2.00
$2.59
$1,11
$40.70
$40.70