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HomeMy WebLinkAboutPermit Electrical 2000-4-20 ., . I Job# 00-00597 -01 I . Page 1 of2 TRANS#:01-0001305 DATE:APR 20 2000 AMT RECD:2 $ 39.60 CHANGE: CASHIER: 059 .. r BPRiNQFIBLD ~ CITY OF SPRINGFIELD, OREGON INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00597-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1910 Nugget Way Spr Assessors Map#: 18030311 Lot: Block: Addition: Tax Lot #: 04200 Subdivision: Owner: Address: Wild ish Construction Co Po Box 7428 Phone Number: 541-485-1700 City/State/Zip: Eugene, OR 97401-0428 Alteration Value: $0 Scope Of Work: Electrical Only Contractor Type Electrical Contr \'" I......:".-.....t. b ttlt-- nr2uU' ; ,,\ It:' dopted ~ -i'l '.. II w rules a -rhO<'. ,,'H~ " .I Contractor to .\0 .,tiolR.eglstration '#0ut,ExplratiO'il pate loti Ie... ; "_001 II III'. , .. ' Christenson Electric Inc ,OAR 95'45f obtall' COPII~~~l2pOc~I' . " 111 Sw ColumbIa St Ste 480, P051!ajld,'/OU III ~entel, \N01F I" ,.,,,t,',,r.a1; OR 97201-5886 eall~n?t~~ lne Oregon UII I . nl)tl....- - Office Use ro,-"" Phone 503-241-4812 Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: C Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the ,24 hour recording at 726-3\~Il\",^IOOpections .re~5~~d\~~fGlf.eJ:rniO\< a.m. Will be made the same working day, Inspections requestetYalteE~i&IPr'S(11I\WIII;lie made therfo,\!,o,"YWll working day. il-llSP UNOERil-llSPEK\III1 R . 1\.1 111-10R\ZEO _ '&' ,of'.I\\OONEOf'O ,~~~~ed Inspe<<6~/JI~Cl::UV"'~ I' ElectricaV. 'J"~IOAYPERIOO. A,\\I'l: \1,.,1'- Low Voltage Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# r Electrical 04/20/2000 1305 Value/Quantity Fee Amount Restricted Energy 1 $36.00 . . .. " Fee State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature Job# 00-00597 -01 Paid On Receipt# Electrical 04/20/2000 1305 04/20/2000 1305 . Page 2 of 2 Value/Quantity Fee Amount I $2.52 $1.08 $39.60 $39.60 Date {'JhillY ana does not reqUlr6 specific land use i:l.~prO\lal L M . Zonin", I PER CITY OF EUGENE TH~~,JOB IS CITY OF SPRINGFIELD ~~,~ 225 FIFTH STREET ',CU,U"""U SlgnalUf' C;(..;J '"ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 JOB:50-02458 1. LOCATION OF INSTALLATION 1910 NUGGET WAY EUGENE OR 97403 LEGAL Dj;SCRIPTION / 9n <.,() ~ / I 0 L/;:;"O e JOB DESCRIPTION LV DATA/TELECOMMUNICATION INSTALLATION QUESTIONS?CONTACT u~Ne ANV~K~UN Permits are non-transferable and expire if work is not started within 180 days of issuance or i~ work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorCHRISTENSON ELECTRIC, Address 111 SW COLUMBIA,SUITE 480 CityPORTLAND OR 97201Phone503 241-4812 Supervisor License Number 873S Expiration Date 10/01/01 Constr Contr. Number 26-34C Expiration Date 10/01/00 Signature of super~)P'Electrician ~1(Y/--- Owners Name UPS EUGENE#9740 Address ~ City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners, Signature: --------------------------------------- DATE: ,~~"~J.rJ. if: RECEIVED BY: 3. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 INC.or Reloca t ion: 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 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' '01." 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 "B" above New, Alteration or Extension Per Panel ." One Circuit Each Additional Circuit or wIth Service or Feeder Permit $ 35.00 $ 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 lh nn 5. SUBTOTAL OF ABOVE 1~ State Surcharge 3% Administrative Fee TOTAL 36.00 L.)L l.UI:l JY.t>u /