HomeMy WebLinkAboutPermit Electrical 2000-5-24
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I Job# 00-00786-01 I
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Page 1 of 2
, TRANS#:01-0001863
DATE:MAY 24 2000
AMT RECD:2 $ 77.00
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00786-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3150 Main St Spr
Assessors Map#: 17023100
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
*'
,
Owner:
Richard Ebert
3150 Main Street
Phone Number: 541-726-3588
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
new panel
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Contractor ~ ,S tlC?",\1 S ~t9.!!l(rati'3nd~c!;iPl1fation Date
Able Electric 1\-'1 dO?\7..c'i)\.l925~'OfI-~'i) 7/16/03
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5511 Main Street, Springfiefcr,'OR, 9~4'Z8. _,,"OD.
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qffrJie'\use
Land Use:
Zoning Code:
Bedrooms:
Range:
Phone
541-726-6701
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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To request an inspection call the 24 hour recording at 726-3769, "Aii 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. ,I'll' '....,',." 0",\\2'-" ,'.uo;'o' \\'1' ' 'O;:I~iCa.\iO
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Electricah \0' .._.\0' .<:", '
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Rough Electrical
Final Electrical
- Prior to cover,
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ Mam: Accessory:
# Of Stories:
Current Units:
Census Code: Does oot apply
Height (feet):
Proposed Units:
Total:
.
Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00786-01
.
Paid On Receipt#
Electrical
OS/24/2000 1863
OS/24/2000 1863
OS/24/2000 1863
OS/24/2000 1863
Page 2 of2
Value/Quantity
1
10
Date
Fee Amount
$50.00
$20.00
$4.90
$2,10
$77.00
$77.00
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1.
LOCATION OF INSTALLA]ION
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JOB DESCRIPTIOY
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Permits are oon-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor A LJ LE' Iff A
Address .f' f / / /'-f /J /,/V
City ~r/~.p Phooe 7~t' ~7tJ/
Supervisor License Number J (J-z-.J J
Expiration Date /IJ///O/
Constr Contr. Number :2..-<:'.J G;:z. c
Expiratioo Date
/0///0/
Signature of Supervisiog Electrician
"
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C?/{.. 07<>7"~ N?Z.F.T.iA)' D.
Oyoers Name
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Address //P:J /'7 ,/>/ /l/
Ci ty Y,?> Phone /'JG ?.57?
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
l\.6\"t..1.rl *:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
City Job Number ()C'J- 0 CYt-Z?6-0 (
3. COMPLETE PEE SCHEDULE BELOY
A.
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Sum
Items Cos t
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 85.00
$ 15.00
,$ 40.00
S 50.00 f/OJ7'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dyelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
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
$ 40.00
$ 55.00
$ 80.00
see liB" above
Ney, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or yith Service
or Feeder Permi t /" $ 2.00 ;L 0." 1
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightiog $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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