HomeMy WebLinkAboutPermit Electrical 2001-4-19
Mar-14-01 IO:34A
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P.02
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DE:VELOPMENT SERVICES DE:PARTMENttsS submitted ha~ land use
lnelOllowing prole not ,eQuire speclI C
zoning, and does
approval. 02 ./
zoning 11:. lOt - 0 LJ -
~M.P- q\
726-37~%ignatu,e -
AuthOnte
3.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1.
LOCATION OF INSTALLATION
~f{[;FI, ~ $v.u...l-
LEGAL Dj:SCRlIlJ;ION
n01-'l71,'-'\\ -bb'JOTJ
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started Yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
EleCtl!i'~.a.i' contracto.r~I/(){)Id<::, t]prlr(("
UI.l. 'IL )-aD ^ .../\ '
Addres$Q,Fl.~l j,'\ ;,;:;) I f";tV1:' ~ ',:..01. .
Ci ty V:~:~Vf\~'" 'h'''Ph,?'n~~:::S:r:l''
O' '. .._,.."-,,-
SuperJ1's~r License Number d.::::..?/}\"!Aon
Expiration Date, 'ID!D\ ((\\ ..
Constr Contr. Number \~~~~
Expiration Date ~\[;S<\()~
Signature of Supervi:~ Electrician
LW~~~ - ~/o
oYner~e-.bi~ ~ ell 5!n~y-
Address 4~O~ YY1~ .
City. Phone 74(,,- (17101,
OllNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or ren t.
Owners Signature:
~~~~V~:::rcl::-oT
RECEIP1': "--/ 0'-'7.1
RECEIVED BY:.l \ r Y'\(J j J^ft<1/1.)
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2:>.5 FIFTH STRFET
SPRINGFII=L n, OR 97477
(!>41) 726.3753
FAX (54/) /26'..J689
ELRCTRICAL PERHIT APPLICATION
~ty Job NumbeJ(j I no 3/1 'LO l
COMPLETE FEE SCHEDULE BELOV ~
Nev Residential-Single or
'"h'.'=", '0< '..n.... ~". C .
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
B.
I[ems
Cost
Sum
$ 85.00
$ 15.00
S 40.00
Services or Feeders
Ins talla F i?l:h ,A,l, i era t ions
or Relocatlon:"-'
200 Tt-ilS PERMIT SHALL EXPIDJO ''''T,' ":: \MORK
amps or less. S"50.00- .
201 amps'lli i)'i4boL~p'Sj\,uo::" I iii s r60WOil~ ~I()T
401 ampsXt.o;,&Q~(-'!Il!P~P '" ^C \",$ 1<19,. OO",C-
601 amps.:$'" ~RQ91''!rpps '$1'30~OO~.
Over 1000~ amps/vol ts':hlvu. $300.00
Reconnect Only $ 40.00 ----.
c.
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
D.
Branch Circui ts
Nev, Alteration or Extension Pe~ Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 40.00
S 55.00
$ 80.00
voLts see "Bu above
S 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OP ABOVE
7% State Surcharge
3X Administrative Fee
TOTAL
not included)
S 40.00
S 40.00
S 20.00
$ 36.00
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OQ. 0.....0
o fTlO 0...0
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5), -
"'-.'50
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I Job# 01-00392-01 I
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Page 1 of2
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00392-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4808 Main St Spr
Assessors Map#: 17023241
Lot: Block: Addition:
Tax Lot #: 00500
Subdivision:
Owner:
Phone Number:
Address:
Scope Of Work: Electrical Only
City/State/Zip:
New
Value: $0
Contractor Type
Electrical Contr
Contractor
Reynolds Electric Inc
2175 W 2Nd Ave, Eugene, OR
97402-7103
Registration #
17252
Expiration Date
2/8/2001
Phone
541-343-7297
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? D
iArea (Sq. r _ ,t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Permanent: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
O"7~
Signawre
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Job# 01-00392-01
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Paid On Receipt#
I Electrical
04/19/2001 4991
04/19/2001 4991
04/19/2001 4991
Page 2 of 2
Value/Quantity Fee Amount
1 $50,00
$3,50
$1.50
$55.00
$55.00
If -f<! -0 !
Date