HomeMy WebLinkAboutPermit Electrical 2001-3-22
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DEVELOPMENT SERVICES DEPARTMENT
The following project as submitted has the following
zoning, and does nol require specific land use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97qvg
INSPECTION REQUEST: 7.29.mJ,l~Signature
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
J:; 3~ ~..,., ST ~i3 fle.
LEGAL DESCRIPTION
/10)... >/ <...1)...0 7L..1UI,o
("'Hy Job Number
3. COMPLETE FEE SCHEDULE BELOII
(] / ()()d-7l 0/
Items
Sum
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION
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, 1
~lOTICE: f bl d .
PermIts are non-trans era e an exp.Ire
if worHB fi,isR;"c\t Ss:t'ar-fe'fPIOf:tiirlii[1'801Fd~ys
of i~e,l!ll,l(,q!!,Z!:D tJ:;Dl::'.?.r,lHlt~'~u.$,p:e.Q.c1eQoTfor
180 t~vtMENCED OR IS ABANDONED FOR
2. CONTRACTOR PINSTALLATION ONLY
Electrical Contractor .4,)'T' Sfr,~:-+y_
, ",' Address-#t::o ?7J..!<:l."" sr. '#A-/~
Ci ty 5"".f"lLJ Phone :}-36 -""3>')-3
Supervisor License Number :?.26a Jt...z
Expiration Date
Ire" .
Constr Contr. Number
2<: /0<; (" t. ~
Expiration Date /?~
Signature of Supervising Electrician
_~,/ ')' Af4~.,,-
Owners Name ML ,'r. /AN,., a /)!:.t/.
Address
Ci ty Phone :J 11'1- 5S00
O\INER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
-------~------------------------------
DATE: (J..J- ;})-- Qj ,
RECEIPT JI: 47?f{
RECEIVED BY;l7 'Iyr;lt tLJ--<'J
Al I:':;',.,J ,."" ~ I"
1qQqo~oq, fJ. .or; ,l.es$, _. , .._~~ $;85.00
Each addi tional'''500 . - ...-..Ot, u!l ,'y
'''ulIIltf'tqu. V~'l;' ," .: I L ,',:' 'Ul'-..l.loo, ...aroa. ';;::Ql "1'
.sq.. ,..or portIon' - u. ~ '-~.. , '0'
'tth~1!EiO'fc:-lJ(}H)U IV ulrougn vAA !$5rl'5'Goo
E'M.~i{J'M~nuf';?d''''H~m~ or:Jk:~:)1 wE rulas b)
Mo~d\mra:r .iDwEd'ling,,~u,_' :0" talephone
Sef,v,i'ce',or"FeedeIJ . ',1:' ,I,'0111$;<.4Q;.:00
(>~~ 0 ' . - " ..4)
Services or Feeders' .
Installation, Alterations
or Relocation:
B.
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
$ 60.00
$100.00
$130.00
$300.00
$ 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
D,
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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I Job# 01-00282-01 I
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Page 1 of2
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00282-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3738 Main St Spr
Assessors Map#: 17023142
Lot: Block: Addition:
Tax Lot #: 02406
Subdivision:
Owner:
Address:
ARLIE LAND DEVELOPMENT
X
Phone Number: 541-344-5500
City/State/Zip: X, X
Scope Of Work: Electrical Only
New
Value: $0
Contractor Type
Electrical Contr
Contractor
Adt Security Services Inc
4660 Main St, Springfield, OR 97478
Registration # Expiration Date
Phone
541-736-4973
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 -I
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r, ,I)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
03/22/2001 4748
Value/Quantity
Fee Amount
Restricted Energy
$.00
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.~.
Fee
Restricted Energy - Multi Family
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
Signature
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Job# 01-00282-01
Paid On Receipt#
I Electrical
03/22/2001 4748
03/22/2001 4748
03/22/2001 4748
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Page 2 of:!
Value/Quantity Fee Amount
1 $36.00
$2.52
$1.08
$39.60
$39.60
Date