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HomeMy WebLinkAboutPermit Electrical 2000-4-3 '. :,( . ; .. , SPRINGFIELD ~ CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 I Job# 00-00279-01 I . Page 1 of2 TRANS#:01-0001120 DATE:APR 03 2000 AHT RECD:2 $ 39.60 CHANGE: CASHIER: 059 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00279-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1077 Main St Spr Assessors Map#: 17033541 Lot: Block: Addition: Tax Lot #: 05800 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 Type Electrical Contr Registration # Expiration Date Contractor Adt Security Services Inc 1501 Pearl St, Eugene, OR Phone 541-342-1313 Office Use Land Use: qUlleS ~ou \~ # Of Buildings: Zoning C~~,~i.,\,,\j"" ""'~~ore90n U~~~9FCupanCY Group: B.edrooms: adopted e~ te rUles are sse".od1eat Source: , '-".Illes ,\1os "f\9 .~ ~nl)e' Genlel. ~roU"\10... ul9Sliq. Footage: .'I'~""nn _o.nt.." J,'l'>"'t ''lUlh'C- 5Z..ou ,'v<>.; cople,> .'. \1onB To request an inspection call the 24 hour reaMili~~~'l"~6}nwm\\l~tl;j~'tl\~ lib{ftl{lfllsted before 7:00 a.m. will be made the same working day, t~26mtw@qu@s'i'JJffilYO'W10~~, will be made the following working day. ca\lln'J tortneore9no!\,,?,?<\A . numeet ,,,,(;0 i-I'.' Requlred Inspections Electrical Quad Area: # Of Units: Constr. Type: Water Heater: Low Voltage Construction Types: . Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D iArea (Sq. Feet) I Main: Accessory: Fee Restricted Energy E- waR\< ~O,,\CE: "-SLlt>.LLE-)(P\RE-IfiH :TlSNOi nr..T;\M\ 1 ," 1.1\- o)::p.~ # O~",..: UNOE-Ri" HeIght feel{ curr~'WiliglZE-~ l='\ISt>.\3t>.\I\\t~g'i e~ Units: cens~~~~t;lbt allllly -JO" 01'1=\\\;1\:.1. -fo~l:'~Uu"". I Paid On Receipt# I Electrical 04/03/2000 1120 Value/Quantity Fee Amount 1 $36.00 , .... . ,. . , Fee Restricted Energy - Multi Family State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total ~~~- Signature . Job# 00-00279-01 Paid On Receipt# Electrical 04/03/2000 1120 04/03/2000 1120 04/03/2000 1120 . Page 2 of 2 Value/Quantity Fee Amount I $,00 $2,52 $1.08 $39.60 $39.60 '(-'Soot:::) Date . , " The following project as submitted has the tollowin zoning. and does not requir6 specific land use approval. . c-- Zoning C .Lt- 3- 07> ;<,v-J Date 225 FIFTH.STREET SPRINGFIELD, OREGON 9747Authorized Signature INSPECrrON REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 1,)?-7- ")'7').-,...').., Sf: 1EGAL DESCRIPTION 1100~"1,''7'1Jl- Ossr 06 .' JOB DESCRIPTION .'5 $ /'_.......v IN h~--- , 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. CONTRACfOR INSTALLATION ONLY Electrical Contractor ADT Security Address 1501 Pearl St. Ci ty Eugene, OR Phone541-342-1311 Supervisor License Number 8533~S Expiration Date 10/02 Constr Contr. Number 26209CLE " Expiration Date 10/01/00 rvising Electrician ..- [--- ----- D. -- Owners Name~~ Addres:; 2 8 () A ~ T_ Ci ty ~ ft/J Phone J- $'6 - 8 Y51 OVNER INSTALLATION The installation is being made on property I own whiCh is not intended for sale, lease or rent. Owners Signature: ----------------~---------------------- DATE: RECEIPT I: RECEIVED BY: ZLBGTRICAL PERK!T APPLICATION City J~~ Number 00-0()'1~tl.~ 01 3. COKPLETE FEE SCHEDULE BELOW . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation . Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm --L-- 5. qfBTOTAL OF ABOVE State Surcharge % Administrative Fee TOTAL $ 35.00 $ 2.00 no t included) $ 40.00. $ 40.00 $ 20,00 $ 36.00 3 [ OeJ '). ~-?- I. oF< ? '7. 60 3?~