HomeMy WebLinkAboutPermit Electrical 2001-1-30
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I Job# 01-00086-01 I
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Page 1 of 1
TRANS#:01-0004345
DATE:JAN 30 2001
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00086-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769 *
Tax Lot #: 04702
Subdivision:
Location Of Proposed Site: 1566 Main St Spr
Assessors Map#: 17033631
Lot: Block: Addition:
Owner:
Tri Willow Inc
1566 Main Street
Phone Number: 541-741-3151
Address:
Scope Of Work: Electrical Only
circuit repair
City/State/Zip:
Repair
Springfield, OR
Value: $0
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ Mam: Accessory:
Re~uired Inspections.
1,.iI.,, .
I ,I. ..Electrical'""" 'I' .,
"};" I :'.)~-v'
-When all electrical wor~js,complete:I-\)\II' .' '.~'.~:.I" , .~. ,'IIJ3 0
V 1'1" O-l,.-,I',lr, ,I
OlllJU. .,11 1.:, ;~' :1. '..iJp,OilZ
U~\hl'll 1t........;II......\- '. .i.l(~.~i,,;J.t~or
nU,\l;,;.....J 'I '.;"1..: _.'I'.,J ." ,\
Final Electrical
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:~-.-, __po:.
Fee
--. '-ITS"'~"l-:')l~'r'I""lr""-.vv-''''
Paid'On \1'1 Rec~p-t1!._ :_~Yi!I,u.~g~i!ntity
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01/30/200'i-;2.U l'4345"\O"'''''V'~~O rOA
01/3P~~Q.Ojf.lY P[4345).
01/30/2001 4345
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
1
$35.00
$2.45
$1.05
$38.50
$38.50
.
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The tal/oW'
ZOning, an~g project 8s s
approllal does not Ubm;tted h
. reqUire as the f
Z. II /l specilic I aI/OWing
. OnlOg <...:-~ and OsfL...........
Date ELEt;TlUCAL PERMIT APPLICATION
I "1. '
974T14uth . ~ ')/)-
726_37~fjZed Signature Ci t Job Number 01- 000 '8& - () I
225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
1566' M~
LEGAL DESCRIPTION
, ~ 03 '36) I G't"tO?.
JOB DESCRIPTION
C,rCJ..:+ ~.,,;/\
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
F
"
Constr Contr. Number
~
"-..J
Expiration Date
Signature of Supervising Electrician'
Oyners Nam(.tlfor t<; (lJ5d.._1a y~ cl'
Addressl.~GC:; yf(7 I' t'L
Ci t~~eILphone2!Z/~~ &
OVNER ~N
The installation is being made on
property I ~Yn yhi~h is not intended
for sale, lease or rent.
\(?JCZ??&
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
3.
E FEE SCHEDULE BELOY
A. Ney Residential-Single or
Multi-Family perdyelling unit.
Service Included:
Sum
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufrd Home. or
Modular 'Dyelling
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 liB" above
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
~s
$ 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 ",)$: G G
7% State Surcharge
3% Administrative Fee
TOTAL r.. <(, . c:>Ll