HomeMy WebLinkAboutPermit Electrical 2001-2-23
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225 FIFTH STREE r
SPRINGFIELD, OR 97477
(541) 726-3753
FAX(541) 726-3689
ELECTRICAL PERMIT APPLICATION
City Job NUlDber-{j-1-uL,j:t-:~-
I[) I (X}/5r. Of
COMPLETE FEE SCBEOULE BELOV
Tile folloWing project as suomitted has the following
.wnlng. and does not require specific land use
approval. .n /1
225 FIITH STREET Zoning ~
SPRINGFIELD, OREGON 97477 ? -2'3 -01
INSPECTION REQUEST: f''1'26-)7';7 . 1<0
OFFICE: 726-3759 ""'''U''L~O Signature_
1. LOCATION OF UlSTALLATION ( . Il)
02.( ~- r ~"-:~ ')'1 /JAUtT...
LEGAL DESCRIPTION
/,O-:d- g::l;",'::2 O/9GO
JOB DESCRIPTI.9N
>('(cJ /-;-~v 5'7 ,.L:-.
Permits are non-transferable and expire
if worl(,lti'sTliof:.:started wi thin 180 days
of i ssuanceJCorlVlilfs\work Eisl[sUspeh'd-ea'Cfor
I nhJ I [.,1 I I .. ,-- ..
180 daytLlTHORIZED UNDER THIS PERMIT IS NOT
2. CONTRACTORCINSTAIiliATIONJONCfJ FOR B.
.................~
,A"'V 1~n (lAY PI:RIOf).
Electncal Contractor ADT Security Services
Address 4660 Main Street. BIde A. #100
City Sorinefield
Phone 736-4973
Supervisor License Number 853 JLE
Expiration Date 10/01/02
Constr Contr. Number 26209CLE
Expiration Date 10/01/01
Signat~ri of Supervising Electric!.an
pr~ C~
Owners NameQ.lUJ0 (7fujlG/
I
Address
City Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------,y--------------------
DATE:.:.2 ~;}"5 --01
RECEfPT #: 00_0 453-~
RECEIVED BY ://. iYJaCJ7c:ea: ()
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service_or Feeder $ 40.00
t';l!o'.'\: ~' '," '_: '\ \," . I' .
ServA~!!~",<?.r, ~,eeders ". , ., ." " -.',
Ins t,~'U!l,t.i<?!l1)1,4IJ_e,x:a.~J9.!1J~ I 01-1r' ~:5,,-1 Ii
or Relocalion:"....",tPir ...o",:.:.'--.....~ :-h'- flJI":'o';. ,
UV;:IV. I' J;' . '0 , . ,.. . L ".....1
200 r.:,\lIinc. r'f ;dn'~, ,1~rJ' 'I]. tf's't:iso,"b, '0"
201 ~~E'~O~~L4b6s amp~;l:, "$";60~ci'6r
401 amps to '600 amps $ioo.oo
601 amps to 1000 amps $130.00
Over 1000 amps/volts $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 volts
$ 40.00
S 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00 ~ -I
S 40.00 'DD
$ 20.00 i"iirriu.;
I $ 36.0~ &e-
'=2 / (5V ~ N to '1
uf.o. !:::lq~NO
'2 ..,..t- Etix;(.,JLoo.Ig
.::!""Ol'\)~
I .O'i> Q9J. 001
39. ~ 0 .=-..'G;Sf;3
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
.-
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Page 1 of 1
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SPRINGFIELD
~
I Job# 01-00156-01 I
CITY OF SPRINGFIELD~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00156-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4215 CSt Spr
Assessors Map#: 17023232
Lot: Block: Addition:
Tax Lot #: 1900
Subdivision:
Owner:
Quick Check
4215 C Streel
Phone Number: 541- -
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Electrical Only
Quick Check
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
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
I Electrical
02/23/2001 0004532
02/23/2001 0004532
02/23/2001 0004532
Value/Quantity
Restricted Energy
State Surcharge - Electrical
Adminislrative Fee - Electrical
Total Electrical
Grand Total
1
Fee Amount
$36,00
$2,52
$1,08
$39.60
$39.60