HomeMy WebLinkAboutPermit Electrical 2001-10-25
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tg~If'dg projecf es subm,"ed hes the following a
llgg doss not require specific land use
225 FIFTH STREET pp~ , ',' ' , , :" . EL CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9i1mng /1IL 1ZCi ' , " WANSlliO).-0006961
INSPECTION REQ~~769 I fl. ~., 0 I "CitrJob Nnmher-O I nt/;>. ~T~~f 11 2001
,,' OFFICE: 726-3759:A h?,--- "'j=~1 '~l1u1 ,,' . AMT RECD 2 $ 51 75
. " - :: ' ut ,riW(l '''If'tatUtl! : -i '-'--J:! rnMPT FTE FEE SCHEDULE BELOW :.
1. LOCt\TI9NOF INSTALLATION: I ' :: ' I CHANGE:
1920 OlvrnoiC Street' . '" A. New'Residenti:i1-Singleor' CASHIER: 001
Multi-Family pcr dwelling unit.
Sen-ice Included:
-,
'<
.-, 1
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....
LEGAL DESCRIPTION
1'1 0 ~ ;;}.., :::3,
o"oc::.
JOB DESCRIPTION
circuit for left-side frver in deli
,
Permits ~re non-tr~nsfer~ble ~nd expire
if work is nof started within 180 d~ys
of issuance or if work is suspended for
180 d~ys.
2. CONTRACTOR INSTALLATION ONLY
Christenson Electric, Inc. D.B.A.
Elcctncal'Contractof_Phi'; nc:: Fl #3~t'r; C
, ,
. ' \
Address 1298 Bethel Drive
/"'"
/ '
/
EU!!ene. i OR Phone (540 688-6121
. . ~ //
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Supervisor License'Number /271 98
I
Expiration Date
,/
"Constr Conlr. NumbeI26-14r.
City
10/01/03
-_.-.~
, --
"Expiration Date 10101/.02
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Signature-of ~uflcn.ising Electrician
'-
~PhiliPS
If
Owners Namc Hinco Foods
".
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,
Address 1920 Olvrnnic Street'
746-6593
City SpriO:>:T;plrl Phone 91H<?V
OWNER INSTALLATION
The installation is being made on
property I 0\,," which is not intended
for sale, lease or rent..
Owners Signu!,urc:
Items Cost
SUI)I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,'-e, $ 19.00
.
Each Manu~.d_~~me or ,/ .~-:: E WORK
M.qdular DwelhngHALL EX?I.-" IF TH
Service orFeedeUNDER n::s ~i",<\m If$tsolio .
AUlil\.J1 L-~~U. -
S . ,..", ,OF - d":D OR IS ;,1=,1'; IOO:~2.D F.OR
B. cn'lces1or, ec crs 1 / . '-.
Installation, AlteniiionS1or
t" , ." /
Relocation: '
'~
I
,
200 ~mps or less
20 I amps to 400 amps
40 I ~mps to.600 amps
'. 6Q I ~mps t6 1000 amps
Over 1000 amps/volts
/
Reconnect Only
C, Temporary' Services or Feeders ,
_ Installation, Alteration or Relocation
-~
'- ' 200 ~mps or less
''l0l arnps to 400 amps' !,
"-, '-Ov~r 401 to 600 amps
Ove,'600 amps 01'.2900 volts see
"BIl above -.-.
/\
I '.
D. Branch Circuits
New'Alter~tion or,Extension Per'P~nel
if! \ 1
/ .Il \ J
00'/ Circuit' .
'!j .' I
Each Additional Circuit or with Service
or Feeder Permit
$106.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$50.00
$69.00
$100.00
.....L $43.00 43.00
,,1 ",
. I "
E. Miscellaneous (Service/feeder not include,l)
I ," " ,
, .Each install~lioh
'I ',." I.
'. Pump 'or:irrigatioh
. Sign/Outline Lighting
Icimite9 EnergylRes
: Limi,ed Energy/Comm' .
$ 3.00
~ $50.00
$50.00
$25.00
$45.00
o .
Minimum Electric Permit Inspection Fee is S45.00 + SlIrch~rges
. .
4. SUBTOTAL OF ABOVE
7% State Stirch~rge ..'
8% Administrative Fce
TOTAL
45.00 (min.)
3.15
3.60
51. 75
1...
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I Job# 01-01122-01 I
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Page 1 of2
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01122-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1920 Olympic St Spr
Assessors Map#: 17032531
Lot: Block: Addition:
Tax Lot #: 07700
Subdivision:
Owner:
Address:
Winco Foods
1920 Olympic Street
Phone Number: 541-746-6593
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Electrical Only
Winco Foods
Contractor Type
Electrical Contr
Contractor
Phillips Electric
1298 Bethel Dr, Eugene, OR 97402
Registration # Expiration Date
Phone
541-688-6121
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.
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.....
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Fee
.
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
~,<.3 ,,,,v,,f' ,J-11111
Signa~u;;l . --
Job# 01-01122-01 I
Paid On Receipt#
Electrical
10/11/2001 0006961
10/11/2001 0006961
10/11/2001 0006961
10/11/2001 0006961
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Page 2 of 2
Value/Quantity
I
Fee Amount
1
$2.00
$43.00
$3.15
$3.60
$51.75
/ J51.75
Wlif/..Qr
Date