HomeMy WebLinkAboutPermit Electrical 2000-2-2
,-
.
'.
.
.
SPRINGFIELD
35
00
ANT RECD:2 $ 39.60
CHANGE:
ELECTRICAL PERMIT APPLICATIONCASHIER:059
City Job NumberOO- DOlcD-Or
3JMi't.ETE FEE SCHEDULE BELO\l ~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
, bm'tled has 1M following
The following prOIBct as SUuir~ specific land use
. and does not rBQ
225 FIFTH STREET zOOlng,
SPRINGFIELD, OREGOtfPgr4"'z, C- CZ---
INSPECTION REQUEST: 726-7J'}'g'~ "2- ~ J--J~O>
OFFICE: 726-3759 Date CI< '
Authpri~d Signature - '
1. LOCATION OF INSTALLATION
4-d.7f) moin 51-.
LEGAL DESCRIPTION
110 z.., '7'2..31 (') ')-7.-0 I
JOB DESCRIPTION
1/1<::'+01/ <;t> f'l.1 n'}'!
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days,
A.
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
S 85,00
$ 15.00
S 40,00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son; trol Secur i ty or Relocation:
Address P.O. Box 21009
City Euuene
Phone 461 - 5678
Supervisor License Number jt,81 REi
Expiration Date
//)-/-'17
Constr Contr, Number 65149
Expiration Date
6-28-00
Signature of Supervising Electrician
_#~ ,'.
/" - ". t Cel/ny D.
Ovners Name 5ublJ1'::! \/ <..XJrrlwfc 1#" mccu/;;;/v
/ /
Address .If;).?!) mo.;,n ,~'-;/
Ci ty 5p.DreJPr' (J /d Phone 7:::11,., -3q41
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or ren t.
Owners Signature:
~~~~~~~~~~~-~--------------
RECEIVED BY: A. f'vl6.L),--0}C'---
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
$ 50,00
S 60,00
SlOO,OO
S130.00
$300.00
S 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
8ranch Circuits
S 40,00
S 55,00
S 80,00
see liB" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40,00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20,00
Limited Energy/Comm I $ 36,00 ':3f,,07)
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
3<'0 lJll
;:;5d-
ios
?,cI,I"f)
:.,
.
.
;.
I Job# 00-00160-01 I
Page 1 of2
. CITY OF SPRINGFIELD~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00160-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4270 Main St Spr
Assessors Map#: 17023231
Lot: Block: Addition:
Tax Lot #: 02201
Subdivision:
Owner:
Address:
Scope Of Work: Electrical Only
Phone Number:
City/StatelZip:
New
Value: $0
Contractor Type
Electrical Contr
Contractor
Sonitrol Security
P,O. Box 21009, Eugene, OR
Registration # Expiration Date
Phone
541-461-5678
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 workin9 day, inspections requested after 7:00 a,m, will be made the following
working day,
Required Inspections
I:lectrlcal
Low Voltage
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
Height (feet):
Proposed Units:
Total:
Fee
Paid On
Receipt#
Value/Quantity
I
Fee Amount
Restricted Energy
State Surcharge For Electrical Permit
t:lectrlcal
02/02/2000 435
02/02/2000 435
1
$36,00
$2.52
..
.-
Fee
Electric Administrative Fee
Total Electrical
Grand Total
Signature
.
Job# 00-00160-01 I
Paid On Receipt#
r-- Electrical
02/02/2000 435
.
Page 2 of 2
Value/Quantity Fee Amount
$1.08
$39.60
$39.60
Date