HomeMy WebLinkAboutPermit Electrical 2001-4-11
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I Job# 01-00350-01 I
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Page 1 of 2
TRANS#:01-0004895
DATE: APR 11 2001
AMT RECD:2 $ 59.40
CHANGE:
CASHIER: 004
SPRINGFIELD
~
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00350-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
;~~::"L:::o:'~376*
Location Of Proposed Site: 3912 Main St Spr
Assessors Map#: 17023141
Lot: Block: Addition:
Owner:
Address:
Phillip Copeland
37124 Hills Creek Road
Phone Number: 541-746-9035
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Scope Of Work: Electrical Only
Install 3 phase service and 2 circuits
Contractor Type
Electrical Contr
Contractor
L & E Electric Inc
85014 Spencer Hollow Rd, Eugene, OR
97405
Registration #
105475
Expiration Date
3/30/2000
Phone
541-933-2653
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
Rough Electrical
Electrical Service
Final Electrical
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
..
/
Fee
.
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Gran?b
Signature
CL fjt'~
Job# 01-00350-01 I
Paid On Receipl#
Electrical
04/11/2001 0004895
04/11/2001 0004895
04/11/2001 0004895
04/11/2001 0004895
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Page 2 of 2
Value/Quantity
Fee Amount
1 $50.00
2 $4.00
$3.78
$1.62
$59.40
$59.40
Ytlly 01
Date
..
'tIed has Ihe following
. t as subml d se
.The tollowin9 prol9C t require specifiC tan U
zoning. and does nO
approval,.. .(k
ZOning zj._I/_OI
. ~
225 FIFTH STREET
SPRINGFIELD, OREG&ft'971i1i
INSPECTION REQUESTi;uln01,z~~~Il~ure
OFFICE: 726-3759 .
-
ELECTRICAL PERMIT APPLICATION
1. LOCATION OF INSTALLATION
':39f;2.. ~~A/ .? .
LEGAL DESCRIPTION
J ?~-::2. ~/~ /, .&'Io/t!>/
r
JOB DESCR1rTION 1000 sq.ft. or less
~ ~~ ~(/// G~ 2 ~~hEach addi tional, 500
( , . sq. ft or portlon
Permits are non-transferable and expire . thereof
if work is not started within 180 days Each Manuf'd Home. or
of 'issuance 'or if' \,/ork is suspended for Modular 'Dwelling
180 days. . Ser~ice or Feeder.
Ci ty Job Number 61 ~ 3~ 'c:5'/
3. COMPLETE FEE SCHEDULE BELOI/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor! it: EiRCHK Tnc.,
<"f"r\or ~()I/()w f\d
Phone~ ' 9'18y
License Number L/litf-5
10 / I / 200 3
I /
InC;-Y,S"
Expiration Date '"3 /t / nri..
Signature of superv~in~Electrician
?-Q ~l~
Owners Name ~/~74~....?~D D.
Address. 3 7/241..f?LL~ q. .~,
Ci ty ~ ~Phone ....., ,,/=
OIlNER ~T:&r?r6'?~ ?W~??
Address BSOLL/
Ci ty Evc..e.tll
I
Supervisor
Expiration Date
Constr Contr. Number
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
~OO:~He~~ Signature:
:39N~H:J
W61j $ ;:;:OT1/J, I~H
1006 ~~-dd~~5~----------------------------
1j68~~T~A:#qNH~1
RECEIPT 11:
RECEIVED BY:
Items Cost
B.
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
Sum
$ 85.00
$ 15.00
.$ 40.00
S 50.00 222... JIll'
$ 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 100u volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Eriergy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
.;
not included)
S 40.00
$ 40.00
S 20.00
S 36.00
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