HomeMy WebLinkAboutPermit Electrical 2000-3-7
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SPRINGPIELD
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225 North Fifth Street
Springfield. OR 97477
Owner:
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I Job# 00-00362-01 I
Page 1 of tRANSII: 01-0000845
DATE:MAR 07 2000
AMT RECD:2 $ 83.60
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00362-01
Location Of Proposed Site: 2152
Assessors Map#: 17033642
Lot: Block:
Office: 726-3759
Inspection Line: 726-3769
MainSt
Spr
Tax Lot #: 02000
J."o. "~I~.ivislon:
.. . te~~mro~iP.~~J1-T~6-7390
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".,.-rC~ \ "r'ot\\~ IStatii/Zip':~ gsSpringfleld, OR 97477
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\O~~~~t~O;\Y\~~\1~Value: $0
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C & SElectric Inc 3849 9/1/00
Po Box 1482, Springfield, OR 97477-0189
Addition:
Judy Rae
2182 Main St
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
'Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
*
If'
Phone
541-741-2236
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.
Rough Electrical
Final Electrical
Required Inspections
Electrical
- Prior to cover.
..When all electrical work ii\l<cJTIt\!!:
THIS PERMIT SHALL EXPIRE IFTHEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
# Of Stoft~lr: 180 OAV PERJODHeight (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
Fee
Total:
Paid On
Recelpt#
Value/Quantity
Branch Circuits W/O Feeder or Service
~Iectrlcal
03/07/2000 845
Fee Amount
1
$35.00
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Fee
Job# 00-00362-01
Paid On Receipt#
Electrical
03/07/2000 845
03/07/2000 845
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
G~1r;:0vDtJ~
I
Si{ nature
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Page 2 of2
Value/Quantity Fee Amount
$2.45
$1,05
$38,50
$38.50
Date
./. . ,-
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SPRINGFIELD
1.
LOCATION OI(J~STALLAlJ;QN
2~1 !I!L-uv'\ M.
LE;AL ~~~~ 3 /,oLf 2;D7-b01/
fl r~sr~7'r'R; hbt lJZLk( hc-a/e {
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
e ~jL/)
City
P 0
Lief}{ ~m
Date
Supervisor
Expiration
Constr Contr. Number
Expiration Date
'Signature of Supervising Electrician
Owners Name ,\U..d.4 (<CLL
Address ~ ~t1 iT
Ci ty. .V J))...,} 2\sht;one ILf~-13qo
./ -tl
OVNER INSTALLATION
The ins talla t ion is being made on '
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT .'
RECEIVED BY:
ELECTRICAL PERMIT ,APPLICATION
Ci ty J~b Number OO~OG'6~-.o)
3. COMPLETE FEE SCHEDULE BELO\I
A.
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
It ems Cos t
Sum
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
,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
$ 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 nB" above
.'
New, Alteration or Extension Per Panel
$ 35.00
35
$ 2.00
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 35.00
7% State Surcharge :L.lf~
'l
3% Administrative Fee \. D.)
TOTAL 'n'i1:. ~O
One Circui t \
Each Additional
Circuit or with Service
or Feeder Permit
,..-h'",
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SPRINGFIELD
The following project as submittad has the following
nd does not require specific land use
~onlng, a
approval. (l e-
225 FIITH STREET Zoning. - ;:;~CTRICAL PERMIT APPLICATION
SPRINGFIELD ,OREGON 97477 ?> ~ 7' .
INSPECTION REQUEST: n(iQ.":l: o~ V Ci ty Job Number
OFFICE: 726-3759 h""'U'"00 Signature
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
(" r:[ nL, Installation, Alterations
Electrical Contractor_ ,'7: 'S 't. ern le \):.V\c. or Relocation:
Address 0.0, ~D.K-l ~g' 2.- ., 200 amps or less
('1~' n..., L( /-J ') ~ 7' 201 amps to 400 amps
Ci ty n loV' Phone tZ::1 t..u;;J 10 401' amps to. 600 amps
-, 1 (" 601 amps to 1000 amps
Supervisor License Number t.?g L~ Over 1000 amps/volts
tD-6l-^ I Reconnec i' Only
Expiration Date LJ
Constr ContI'. Number ~D\4-G
Expiration Date - \ D-() l..-C1c)
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1. LOCATION OF INSTALLATION
ollC;"'7_ m~
LEGAL DESCRIPTION
,., f)"? ?, (, <J.Z....--
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JOB DESCRIPTION d.-
(\ 1 (,(,.u.d:- m HtJt'-tU~ ~
Permi ts ar~ non.,-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
.~
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SitL o:2~sing Electrician
Mners Name cr'L.~. 'R.~
Address br~ ? . ~1f.1A'-"
Ci ty~ Phone -1.1{ (, ~ "37 (, ''1..
O~ INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
3---7-0-1).
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3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
Items Cost
Sum
,/
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
,
$ 85.00
$ 15.00
.$ 40,00
$ 50,00
S 60,00
S100,OO
$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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
..'
Nev, Alteration or
Extension Per Panel
I $ 35.001'35. -
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$
2,00
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 35. -
1% State Surcharge ~. .,.~
% Administrative Fee I. oS-
TOTAL 3C. SO