HomeMy WebLinkAboutPermit Electrical 2000-6-28
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I Job# 00-01018-01 I
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Page 1 of2
TRANS#:01-0002356
DATE:JUN 28 2000
AMT RECD:2 $ 44.00
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01018-01
225 North Fifth Streel
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4765 Main St Spr
Assessors Map#: 17023200
Lot: Block: Addition:
Tax Lot #: 00102
Subdivision:
x
V
Owner:
City Of Springfield
225 Fifth Street
Phone Number: 541-726-3700
Address:
City/State/Zip:
Springfield, OR 97477
Value: $0
Scope Of Work: Electrical Only Alleration
City of Springfield Station 2 Firestation
This is a copy with a new Application Number
Contractor Type
Electrical Contr
Contractor
Mcdiarmid Controls Inc
85579 Highway 99 S, Eugene. OR
97405-9601
Registration #
77023
Expiration Date
10/24/00
Phone
541-726-1677
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 call1he 24 hour recording at 726-3769. All inspections requesled 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.
Required Inspections
Electrical
Rough Electrical - Prior 10 cover.
Final Electrical ""When all electrical work is complete.
fl -'v'
Of/Ow "V/V'V
!oti"~ rUles a' rege, JI
,o."'I(Jl';e,~Ootedb a~ltr8qlJire~ NOTICE'
Construction Types: )os(7'~ ~u""'(I/_':1 n_~.')I}~e Oreqo'" You fL. THIS PER .
'" .. " 1'/. ' nUt1' MITSHALL
Occupancy Groups: Cd;!;r:' ~ ,n?", l:'~i,: "I, ....' . r- , ,. ~ rt,t AUTHO "'7 EXPIRE IFTH
#OfBuildings: ' "'itnbert'" .;:", : '#'Of,Storiils: .) ,'lr,' COMHe~&hi(f~i)?ERTHISPER EWORK
orlh- '. '. '", I): ',. <:'c'O' ~n/:r\ll'c:"r. MIT/SNO"
# Of Bedrooms: ~'~~:.,. ~> O. ;~.":~urren~Units: "1 '?:;; /:0: ANY proposei1'.lJiiJ~3ANDON /
Handicap Access? 0 . . ",Census Ce,de:Do~s nol apPly180DAYPERIOD. ED FOR
Area (Sq Feet) , ,d"~.. ,
I Main:' Accessory: To~i~ ,'''v,'
<...
...
.
Fee
Each Sign or Outline Lighting
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-01018-01
Paid On Receipt#
Electrical
06/28/2000 2356
06/28/2000 2356
06/28/2000 2356
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Page 2 of 2
Value/Quantity Fee Amount
I
1
$40.00
$2.80
$1.20
$44.00
$44.00
Date
. SaGFIELD
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON,97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number, 00- 0 \ 0 l '6~ G \
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
Lt1 (,"5 V't\A,....> <,+.
LEGAL DESCRIPTION
~rJ:.tJ" t,o/I..e :'\.\....\c'o....> ... 2-
\
JOB DESCRIPTION
<'~.J h<"'J-~'''''l
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor v\\'(V).....eo',,,.,.l (C>~5
Address t1sS51"l ~v 'i9 ':l.
.
Ci tye...,,,-
Phone_ 72/"-11..1/
J
i
,
Supervisor License Number '2..B= S
Expiration Date
/O-/-t> /
Constr Contr, Number ;20- \.,lL
Expiration Date
Signature of Supervising Electrician
q~<I.>n"'Q'- --
O~ners Name
Address
City Phone
OYNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
\, for sale, lease or ren t.
Ovners Signature:
DATE:
Rt.""J.?i 1I:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOY'
"
A. Ne~ Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 85.00
$ 1'5.00
$ 40.00
$ 50.00
$ 60.00J
$100.00
$130;00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Recc>nnect Only
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BII above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting ~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
()Q
i..((j
40.00
40.00
20.00
36.00
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