HomeMy WebLinkAboutPermit Electrical 2000-11-1
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I Job# 00-01619-01 I
SPRINGFIELD
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Page 1 of 2
TRANS#:01-0003670
DATE:NOV 01 2000
AMT RECD:2 $ 49.50
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 1714 Main St Spr
Assessors Map#: 17033631
Lot: Block: Addition:
Owner:
Spirits Bar
1714 Main St
Phone Number: 541-726-2972
City/State/Zip: Springfield, OR
Alteration Value: $0
Registration # Expiration Date
136298,'''' 't.... 816/01
'0110", ~
'10(' ,rUle_ '
ItJ,..,.,4.. ... -jn/")....
'I u..q "'v'. L,oe '...-, th
A&520 /)11:., /1) ~> .,,'"
vU90, Yo . 01;:0."- ~.s~ ''', 'iiI,..' "
Call', Urna'. #,9fBU, 1,1p"ngs:;..u,;" :',
"f) 'h .r w.;,r.:;>,.....!!i.,'n.~ ...",
"');~)h.:' I ~C3JOccupancy,Group:m" ','
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:Ji..""J:leat'S,ource: Jt] rW'e<," <
ee,,;; -"..a "!' :I 04L..d ~-",. w.....;:;:j b
Range: ..qis Sg:;..:oOIi!ge:^.......~__ .
'~rTTI,._ .JYJlf".......... -Jd
.. """'-234'" -....t#lJOn
To request an inspection call the 24 hour recording al 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.
Address:
Scope Of Work: Electrical Only
Conlractor Type
Electrical Contr
Conlractor
Bear Mountain Electric L1c
Po Box 912, Creswell, OR 97426
Quad Area:
# Of Units:
Constr. Type:
Water Healer:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Job Number: 00-01619-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 01800
Subdivision:
'*
Phone
541-895-8833
Required Inspections
I Electrical "1'-141' I
-When all electrical work is complete/,V''''; 0(PI9l:/f:""
"VC€ ucRiH, IHE"~
"'VY 180'D DOR/S.IJ~. IS'OE"RM/i ORk
'A 'y PE"RIOD 'WiNDONE"D /S Nor'
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Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Slories:
Current Units:
Census Code: Does not apply
Paid On Receipt#
Electrical
11101/2000 3670
Total:
Fee
Branch Circuits WIO Feeder or Service
Height (feet):
Proposed Units:
Value/Quantity
Fee Amounl
6
$45.00
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Job# 00-01619-01 I
Paid On Receipt#
Electrical
11/01/2000 3670
11/01/2000 3670
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Page 2 of2
Value/Quantity Fee Amount
$3.15
$1.35
$49.50
$49.50
Date
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SPRINGFIELD
'tl d has the following
The following project as su~m~ sepecifiC land use
zoning_ and does not requJrn
approval. c-. \!...-
Zoning .......
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Authorized SignaturO
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726,3753
FAX (541) 726,3689
::tECTRICAL PERMIT APPLICATION
~y Job Number (JO-{)(o/Cf-O!
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 72aatt7~
OFFICE: 726-3759
1.
LOCATION^Qf IRSTAA~TION
17 (L) I VI!MAA./ j::Sl\
LEGAL DESCRIPTION
.,
JO!ADE~PT:ON
l!<J c.v. {.)
3.
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorJi,g.IlA rn();~^
Address ~ 9/A-
Ci ty C~L Phone 895- J>V33
Supervisor License Number ~~~~~
Expiration Date /(J-DJ-D I
Constr Contr. Number 2iJ-tjt;5/C!..
EXPi:i71 Date/f-Ol-Ol
Sign/~~~,siftin01~ctrician
Vv', - y
Ovners Name
Address
City
Phone ':)-';)'6"'d-Q'?'),
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~TE~---~--l/f,~~------------------
RECEIPT ll: "76?'0
RECEIVED BY: 'cU 6.....
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 "Bft above
Nev, Alteration or Extension Per Panel
$ 35.00 '2>'7
$ 2 . 00 } G
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE l-j S
7% State Surcharge
3% Administrative Fee
TOTAL 'i"1 .'? 1..7
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit tj