HomeMy WebLinkAboutPermit Electrical 2000-4-5
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I Job# 00-00505-01 I
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SPRINGFIELD
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CITY OF SPRINGFIEL~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 4223 Main SI Spr
Assessors Map#: ' 17023232
Lot: Block: Addition:
Owner:
Rick Burns
4223 Main Street
Phone Number:
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Todd Phillips
9316 SW 12th Drive, Portland" OR
97219
Job Number: 00-00505-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot#: 01900
Subdivision:
Registration # Expiration Date
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
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Phone
503-246-8324
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call1he 24 hour recording at 726-3769, All inspections requesled before 7:00
a,m, will be made the same working day, inspeclions 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
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Height (feet):
Proposed Units:
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Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permil
Electric Administrative Fee
Total Electrical
Grand~~) ~
Signature
Job# 00-00505-01
Paid On Receipl#
Electrical
04/05/2000 1131
04/05/2000 1131
04t05/2000 1131
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Page 2 of 2
Value/Quantity Fee Amount
1 $35,00
$2.45
$1,05
$38.50
$38.50
Date
Mar-OI-OO 11:21A
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225 PIFTIl STRBET
SPRINGFIELD, OIU!GON
INSPEC'1'IOII REOUEST:
OFFICE: 726-3759
1. LOCATION OF INStALLA'l'lON
~..:2-'3 ~ rr
LECAL DESCRIPTION
/7c1.;l..3;L.. ~~/ 9~ (!)
JOR DESCRIPTION
f'/~,IV ./-16h 7\
rermits are non-transferable an~ expire
if york is not starte~ vithin leO days
of issuance or if york is suspended for
180 days.
Z. COllTMCTOR INSTALLATION ONLY
Electrical Contractor.:r~~\\\~:t'N:,.
Address~
Ci ti' ~ Phone '503,\..'11." 'IJ\'L4
--
Supervisnr Lioense
Numbe!: ~'2;b~ 'L 1OWl-
iZ4' '\"0 c:.u;. ILlIOO
Expiration Date
Canstr Contr. Number: -"1-"l~
Expiration Date ~<
4/00;;
,"
Signature of 5l1pe~i If Electridan~
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- D.
ovners Narne~ (lJ.. ~
4-P.~ ~
Ad<lress
CitY~
V
OWER INSTALLATION
Phone
The installation is being made on
propet'ty I ovn ....hl"'h is not intended
for sale, lease or rent.
Owners Signatllre;
DAu.~----n--71:-~:- f}'7) ----------------
RRCIl I i'T &:
IlBCEIVED IlY: 'f(MJ
'5P........O
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P.02
p.,tl:'
:JJ. PERIIlT APPLICATION
Cl ty Job N\III\ber Dn.. DO C)O'S - 0 I
3. CQKP!.ETE FEE SC1IEI)\1LE BELOII
A. Nev Residential-Single or
Multi-Family per dvellir.g unit.
Service Included:
ItE:rns C?st Sum
LOOO sq. fr. or less $ 8;.00
Each addi;ional 500
sq. it or portion
thereof $ 15.00
Each Kanut'd Home, or
Hodular 'ovelling
Service or Feeder ,$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
S 50.00
~ 60.00
S100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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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 aMp~"OT less
201 amps to 400 amps
Over 401 to 600 amps -----
Over 600 amps or 1000-vorts
Branch Circui ts
S 40.00
$ 55.00
S ao.oo
see "8'" above
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Nev, Altera,ien or Extension Per Panel
$ 95.00 '3.>, ex:.
One Circuit I
Each Additional
Circuit or vith Service
or Feeder Perml [
S 2.00
not 'inc luded)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Li~ntin~
Limited Energy/Res
Li~ited Energy/Comm
E.
5. S~BTOTAL OF ABOVE
7X State Surcharge
3X Administrative Fee
TOTAL
.f' 2 ;'"'rlu
S 40.00
S 40.00
$ 20.00
S 36.00
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