HomeMy WebLinkAboutPermit Electrical 2000-1-11
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I Job# 00-00038-01
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Page 1 of 2
TRANS#:01-0000210
DATE:JAN 11 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00038-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
it
Location Of Proposed Site: 4095 Main St Spr
Assessors Map#: 17023141
Lot: Block: Addition:
Tax Lot #: 04500
Subdivision:
Owner: Miles Investments
Phone Number: 541-997-3882
City/State/Zip: Springfield, OR 97478
Addition Value: $0.00
Address: 4095 Main Street
Scope Of Work: Electrical Only
Adding onc circuit
Contractor Type
Electrical Contr
Contractor
Electrical Consulting Service
517 Spyglass, Eugene, OR 97401
Reg istration #
63373
Expiration Date
5/2/2002
Phone
541-485-7833
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
rArea (Sq, Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
01/11/2000 210
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 Administrative Fee
Total Electrical
G~~tal
4~~~~~
Signature
Job# 00-00038-01 I
Paid On Receipt#
Electrical
01/11/2000 210
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Page 2 of2
Value/Quantity
Date
Fee Amount
$2.45
$1,05
$38.50
$38,50
v
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The following project as submitted has the following
z0nmg and does r.ot require specific land use
approval. (' (l ,
Zonmg -' \..-/
225 FIFTH STREET Dafe / - 11- (Y1) ELECTRICAL PERKITAPPLICATION
SPRINGFIELD, OREGON 97477 9<~
INSPECTION REQUEST: 7~~!:!~~~Signature Sity Job Numberj")-tAQ7<'~- 0/
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
+tJ 9$" ;d7",,~ ~ ..,.......
LEGAL DESCRIPTION
/7AZ 1/4./ D?5CYlJ
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
E.l!EC71Z/C,,9G CkI'/S<ii-71.i<: SiZeP'c6
Electrical Contractor
Address -SJ 7 S1::ro/6L#5S, .....,.,.
i I ~
Ci ty El,'.,,~~,;::.
Phone -+J?"-78 33
Supervisor License Number -4+?9 s
Expiration Date /1I-tlJ/-S/
Constr Contr. Number b3~73
Expiration Date ""s. t9L. -oz.
Signature of Supervising Electrician
#-u: l//. /d.4-
Owners Name 7t'f'u.i?:5, Lve!ST_~ ~
Address "*>9., /bN"v ~r
City Sre;wLJC'/I:~;'P Phone~-~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof -
Each Hanuf'd Home, or
HodularDwelling
Service or Feeder
Services or Feeders
Installation, Alterations
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
Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$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
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
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
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One Circuit
Each Additional
Circuit or with Service
or Feeder Permit