HomeMy WebLinkAboutPermit Electrical 2000-5-9 (2)
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I Job# 00-00671.Q1 I
Page 1 of 2
TRANS#:01-0001609
DATE:MAY 092000
AMT RECD:2 $ 53.90
CHANGE:
CASHIER: 059
225 North fifth Street
Springfield. OR 97477
CITY OF SPRINGFIEL~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00671-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1001 Main St Spr
Assessors Map#: 17033541
Lot: Block: Addition:
Tax Lot #: 05200
Subdivision:
Owner:
Address:
SUB Springfield Utility Board
250 A Street
Phone Number: 541-744-3726
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Electrical Only
~
Contractor Regl~irat'fi?n,# Expiration Date
.~~ ~' ~.
C & SElectric Inc ",ol38~j!'~ 0~ ~\- 9/1/00
Po Box 1482, Springfield, OR 9747},i!J~~\>~A1>~(>lB. C\~
Offi U ,":>' -~, '~~'Af)'V'
Ice ~e:?>v 'K-~ . '.'~
Quad Area: Land Usetf>~ ~\-Y> -:>>~. # Of Buildings:
# Of Units: Zonin~~~~:?~<f Occupancy Group:
Constr. Type: BeI!rOo~~ ~~ Heat Source:
Water Heater: Range3' /\.~ Sq. footage:
",,'" ...'"
'y- 0\: ..).... .~~.
To request an inspection call the 24 hour recortifng at 726-3769. All inspections reque1;ied before 7:00
a.m. will be made the same working day. inspections requested after 7:00 a.m,~Willfoe m~de'ihe following
k' d J O~IQ . ~\(. bV e, .
wor Ing ay.,," 0-' ,,'li001 ~'3 0
R 'd I . ,~_\"$' ,~e ()'?',,,,e{ ,,<,-o"'".c
eqUlre nspectlons~ 0 - !'>~ ~. c5' ~o<' (,<1'
. 'jZ ,<:,0 O~ Co ,<?! ~
I Electrical . ..'>,Q\;I ,~ ~( ~,e~'S'Q, .~<:J _
P. .' '(}' t\v, "C) cp 0' .~. "
- [lor to cover. , . '~0'" e<::" ~C) '~~O"l 0i!$:-' ',.('
- When all electrical work is comp~te'o" C; ;;:,C)'" &,'I>,~ 0" /'.
~o ~ <II: zj';" ~0 ~0<:$ -,'
,0 '!i.,c. qJJ ~ c.0 0 -'
, \o''o'?-<<- -\.0" 'S'0 'S'0 . "
, e,'0' ~,,~ \0' ,/
~ c~ ~0'r'
,,f'
<-
Height (feet):
Proposed Units:
Contractor Type
Electrical Contr
Rough Electrical
final Electrical
Phone
541-741-2236
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
jArea (Sq. r ..t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
.
Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
, Grand Total
Signature
Job# 00-00671-01
Paid On Receipt#
l Electrical
05/09/2000 1609
05/09/2000 1609
05/09/2000 1609
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Page 2 of2
Value/Quantity Fee Amount
I
8
$49.00 '
$3.43
$1.47
$53.90
$53,90
Date
\0,'0
\O"S \\0. 6 liS.
",\\\.6 '\le ,,,(\
s $0\)'0 sgeC\
',ec' a ~u\te
91l'0 0\ ,. F> ~
\ ~\o-.N\'(\ aoes' '(\ (\ ............-
,,\\0.0 ,,(\0 V ~\
225 FIFTH STREET 20(\\(\9~,,\, pOj." \ ~,
SPRINGFIELD, OREG9N"'974t.0(\\(\9 5 ~~
INSPECTION REQUEST: 726-3 ...___:"'1
OFFICE: 726-3759 0"\" 5\9(\,,\0>'.
~'1.eo
1. LOCATION OF INS'Piitf'.ATION
iDO \ (Y\(}"~
LEG)L DESCRI~TION
I :::;.- ()~ --z, 5"-[/
n.c, ;;J..OeJ
JPIl DESCRIPTION .
?hG0. . '\~;.fJf
) ~"'-l
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 Contractor (/ )r- S f:.bjh~
Address Po IfJx /Lj~d- "
City 5p/I~!!r-h'ekj Phone 7Y/ -d,)-~
Supervisor License Number lk7sao~
I D -0 \ -0 \
3fYC?
9 - / -co
Expiration Date
Constr Contr. Number
Expiration Date
S~e of Supervising Electrician
e ../~~~~;~
- ' ,/ D.
Ovners Name S () [')
Address PO G"AL, 30 (j'
Ci ty ')p€(oI. Phone +t1E- C(>1{c(J
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 1I:
RECEIVED BY:
.NGFIELD
ELECTRICAL PERMIT APPLICATION
City Job Number
() () -()O ()-:;z..I-O;'
3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
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
uni t.
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation I
Sign/Outline Lighting~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
)../0
3.5
/ '-i
40.00
40.00
20.00
36.00
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