HomeMy WebLinkAboutPermit Electrical 2001-1-26
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. TRANS#:01-0004319
DATE:JAN 26 2001
AMT RECD:2 $ 61.60
CHANGE:
, CASHIER: 059
SPRINGFIELD
~
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT '
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00071-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726'3769
Location Of Proposed Site: 4217 Main St Spr
Assessors Map#: 17023232
Lot: Block: Addition:
Tax Lot #: 01900
Subdivision:
*
Owner:
Prevention and Recovery NW
1188 Olive Street
Phone Number: 541-746-4506
City/State/Zip: Springfield, OR
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
This is a copy with a ne~f.\PI?Hcatil?n NUrT)bE!r . .i r .. . ,.. I
Jt1tlCbtllH _...1"" i'l, A.'Il.:'t'.. " ..:.-;, . .
Contractor "OAH !:to~-\JlJl-\JU'I" ,~~cg.!~~~~!C?,11 ~52~xp'rat'on Date
Sonitrol Security U090. You TI3" 1b!~'r, "1"12: 11 'h~ (!.lIas c
P.O. Box 21009, EUgene!10B;n,,~"IH-, .''''''_ :n.lzl-:pl,onz
. . 1 ,to _.1,....1.40.... ..~'''r-
Phone
541-461-5678
,"...."......... .-, .."~ _.
Office Use
,\
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hou'lrecording:at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insf)sCiions reQuested after 7:00 a.m. will be made the following
working day. THIS PERMiT SHALL EXPiRE IF THE WOR:<
A! ITf-lRnRIZEDd' JINDER THIS PERMIT IS NO:
e~U1re nspectlons
('~.,.""",,~Cf'''O '" A"'^^Ir,f"'INEDFOR
I .-. _. ElectricaL- .. '~I
I," ! 10.' L.JMI rc:nIVLJ.
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,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 l
01/26/2001 4319 1
Fee Amount
Restricted Energy
$36.00
,
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.\1 d haS 1h9101l0wing
. \8ssubml e d use
ihe to\\owing prOJ8C \ require speci1iC Ian
225 FIFTH STREET zonlOg and does nO f\ {"O ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747wolOval L ,v ,
INSPECTION REQUEST: 726-3769 Zoning- \_1(,_0 I (';~ Job Number ()I-n(\o:r.(-.Ol
OFFICE: 726-3759 - --;.J .
Dale - -- 3 .ar"911PL:eu:. r'"E SCHEDULE BELOV .
1. LOCATION OF INSTALLA~nL"O Slgnaw'"-
4;;l,1'1~4. <;+e Z- .
LEGAL DESCRIPTION
1'1-0 ~ :,~..):J.
()l q 00
JOB DESCRIPTION
-,(\str-. II 5eCu.ri~'
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
A.
Ney Residential-Single or
Multi-Family per dyelling
Service Included:
uni t.
Cost
Sum
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor_Soni trol Secur i ty or Relocation:
Address P.O. 80x 21009
Ci ty Euueoe
Phone 461 - 5678
Supervisor License Number 11089 l<.ET
Expiration Date
10-01- 07-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Conn', Number 65149
Expiration Date
6-28-00
Si~~Sing Electrician
ovne~s 'Name rrNft'\hoVl $. ee(l)Jeri lJw D.
.;ddress Ilgg- Olive 5t.
ci ty s.).~ Phone
O~ INSTALLATION
"14 (p-4SDb
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 VOlts
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see liB" above
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 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 S 36.00 ~
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT ~:
RECEIVED BY:
5. SUBTOTAL OF ABOVE
'X State Surcharge
3X Administrative Fee
TOTAL
?do <10
.::15;;1.
10&
'"Z"l, lot)