HomeMy WebLinkAboutPermit Electrical 2000-2-17
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I Job# 00-00284-01 I
Page 1 of 1
TRANS#:01-0000627
DATE:FE8 17 2000
AMT RECD:2 $ 39.60
CHANGE:
CASHIER: 059
SPRINGFlBLD
~
CITY OF SPRINGFIELD~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00284-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #:
02500
4
19'
Location Of Proposed Site: 4175
Assessors Map#: 17023232
Lot: Block:
MainSt
Spr
Addition:
Subdivision:
Owner:
Address:
Scope Of Work: Electrical Only
Phone Number:
City/StatelZip:
Alteration
Value: $0
Contractor Type
Electrical Contr
Contractor Registration # Expiration Date
Security Link
12119 NE 99th St Suite 2094, Vancouver,
WA
Phone
360-253-3113
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 hOUl recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections lequested after 7:00 a.m. will be made the following
working day.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
Electrical I
0211712000 627 1
02117/2000 627
0211712000 627
0211712000 627
Fee Amount
Restricted Energy
Restricted Energy - Multi Family
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
~~
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$36.00
$.00
$2.52
$1.08
$39.60
$39.60
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759 .
97477
726-3769
1. LOCATION OF'INSTALLATION
l.(1-=l-S" .-A-1b'..~ SJ.. c:..~..-C~~o..l"t'..tr . A.
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LEGAL DESCRIPTION
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto<;:::(.>r,__"_vl',~/( .
Address 1?./I""f .~/r- ~.;~.s..,.. 'C,;.... lrPr'''L
Ci ty J.,.(....,..,\R":~ Phone.s.:-()-,,.~'t-fIL?
Supervisor License Number 2" '1'ZIlCE'T
Expiration Date I D I,,', / "'')
I ,
Constr Conn. Number =c>S'.~r-,h""'"
Expiration Date Of:, /o<:'/~
I /
Signature of Supervising Electrician
~~._a./ ~~)
---./ - c..---
Ovners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhichis not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------'
DATE:
RECEIPT 11:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number (jo{JJd.- 61:-4
3. COMPLETE FEESCBEDULE BELOY
Nev Residential-Single or
Mul ti-Family per dvel1ing uni t.
Service Included:
1000 sq.ft. or less
Each additional 500'
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvel1ing
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Reloca t ion:
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
Items
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.. 00
C.
Temporary Serv.ices 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 Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Servlce
or' Feeder Permi t
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. . SUBTOTAL OF ABOVE
T"st. State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~c.
'2.S'L
l.e2
~.h""
40.00
40.00
20.00
36.00