HomeMy WebLinkAboutPermit Electrical 2000-1-27
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I Job# 00-00125-01 I
Page 1 of2
TRANS#:01-0000380
DATE:JAN 27 2000
AMT RECD:2 $ 77.00
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00125-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4765 Main St Spr
Assessors Map#: 17023200
Lot: Block: Addition:
Owner:
Address:
City Of Springfield
225 Fifth Street
Phone Number:
541-726-3700
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Tax Lot #: 00102
Subdivision:
City/StatelZlp:
Springfield, OR 97477
Value: $0
Scope Of Work: Eleclrical Only Addition
City of Springfield Slalion 2 Firestation
Station 2 Firestation
Contractor Type
Electrical Contr
Contractor Registration # Expiration Date
McDiarmid Electric
85579 Hwy 99 South. Eugene, OR 97405
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 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.
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. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
01/27/2000 380
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
1
$35.00
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Fee
State Surcharge For Electrical Permit
Electric Adminislrative Fee
Total Electrical
Grand Total
?d
_/;1 U_I/l-'
Signature
Job# 00-00125-01 I
Paid On Receipt#
Electrical
01/27/2000 380
01/27/2000 380
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Page 2 of2
Value/Quantity
Fee Amount
$2,45
$1.05
$38.50
$38.50
I /~/ 00
Date ( I
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S.GFIELD
Tha fOllow'
lOning, an~~prOject as SUbm"
apprOVal. ces not reqUireltted has the toll .
specific la OWing
Z' /1 ~e
225 frITH STREET OOlOg ( . C!.- ELEl;TlUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Data I~ 7-t:rz; ,
INSPECTION REQUEST: 726-376!l1uthorlzaa S Ci ty .JO"b Number 00 - 00 I d.. S- 0 [
OFFICE: 726-3759 . ~oa~~
3. FEE SCHEDULE BELO\I
10 LOCATION OF INSTALLATION ,
4,(0" ""Ai.. Si SPR.;",c.,~IE:l1\
LEGAL DESCRIPTION
l?-oa;'';;l.QO- OoW2
JOB DESCRIPTION
~: 0 I'I'L\') c:.1R~i \ F 0 ~ (,A't(:' (nNTI<.OL
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
'I Installation, Alterations
Electrical Contractor I'lCOIARm,(\ CONT'RJl~ Nl.or Relocation:
Address gss,9 qQS 200 amps or less $ 50.00
Ci ty ELA.Q\ENE=:" 7;).~-(~77 201 amps to 400 amps $ 60.00
Phone 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
I Supelovi"or License Number ZgOO'.> Over 1000 amps/volts $300.00
i Reconnect Only $ 40.00
Expiration Date IO-f-ol
Constr Contr. NumberT70:J.3-
Expiration Date JO/~4/t10
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Signature of Supervising Electrician
2J~/4~A>?~
Owners Name r-,~ ri ;::;dJM_~-4 f.....2.1
_"\ ,.-- J r. (~ .!::-. c....
Address Od-~ h"l"'M-- ~
Ci ty.5)"M kJ...J' Phone I;)~ ~ 36'S')
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
,Co
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40000
$ 55.00
$ 80.00
volts see "B" above
Do
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Eo
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL