HomeMy WebLinkAboutPermit Electrical 2000-6-13
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I Job# 00-00932-01 I
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Page 1 of2
TRANS#:01-0002127
DATE:JUN 13 2000
AMT RECD:2 $ 39.60
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00932-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2005 Olympic St Spr
Assessors Map#: 17032542
Lot: Block: Addition:
Tax Lot #: 00506
Subdivision:
Owner:
Dollar Store
Phone Number: 541-746-6965
City/State/Zip: springfield, OR 97477
New Value: $0
Address: 2005 olympic st
Scope Of Work: Commercial
comm security system
Contractor Type
Electrical Contr
Contractor
Sonitrol Security
P.O. Box 21009, Eugene, OR
Registration # Expiration Date
Phone
541-461-5678
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. Ulltl.> yuU l~
a.m. will be made the same working day, inspections requested after 7:00 a.m.. will-be made the:f6I1C)Wingdregon Utility
working day. tol1owrUleo,adoPteOOY~~I" I ~ 'rcf'stforth
. ,lnlllIGC'!llll : .AI1:f)11 h;.S~f,:~,e"i\~ "';':I-n01-
ReqUired Inspections , 0/-1- -".'-"Ui-U'''.'.......,~ I b
1 ""~,- . tflC'U OS Y
Electrical J090 You may obtain(N~otr;:~t~~ tr.\' ~hone
L V Ita call;f'fl "hE: center. . 0 W' \.. \. .... i
ow 0 ge .,u~b~r ior the Oregon Utilit~1 Notlfleat on
r,,~~,,-;c " _"n!\_1.,,;:>.?~44).
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
IArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
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Paid On Receipt# ~~~~y~~5il.l!lJA'~BANOO:ElfAirf6lJnt
Electrical ~~!\1180DAYPERIOD.
06/13/2000 2127 . 1
$36.00
Fee
Restricted Energy
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Job# 00-00932-01
Paid On Receipt#
Electrical
06/13/2000 2127
06/13/2000 2127
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Page 2 of 2
Fee
Value/Quantity
I
Fee Amount
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employess who are in acompliance with ORS 701.055 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the stret, that the permit card is Icoated at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
$2.52
$1.08
$39.60
$39.60
Signature
Date
.....
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sttNOFIELD
dOB DESCRIyrION. ~ }/'//I--t-;~A")
UJJJJ.!J{"... ~..I.I.!U.lLA... 7~n-
Permits are non-trans~rable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
27
I 00
AHT RECD:2 $ 39.60
CHANGE:
ELECTRICAL PERMIT APPLICATIONCASHIER:061
'ty Job Nwnberc)O~009sZ~OI
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
It ems
Cost
Sum
\\a\O
"\\es~ <lllsa
:0",1\\0" '\Ie \en
50 sU: sQeC\
. '(\ 9{O\0C\; ,e<\u\fe
225 FIFTH STREET ~o~\o"" ~ <lOos n " t!/
SPRINGFIELD, OREGON <n'!M. en 1.- ,IY
INSPECTION REQUEST: 1~~3't69 Inll .<1)" €
OFFICE: 726-3759 1.0n (1/"4" V.!!'~
1. LOCATION OF INSTALU\'l'j' N "Slllne\\110
"on . ~.:...t.\~a"
~D5 I')lc; 171,0/('- ~.
_ LEGAL DESCRIPTION
)703Z':>LfZ .,'. C:;Osok"
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son it ro I Secur i ty or Relocation:
Address P, O. Box 21009
City Euuene Phone 461-5678
Supervisor License Number IVJ'jCf I?ri
Expiration Date /0///02
" ,
Cons t r Con t r. Number 65149
Expiration Date
6-28-00
Sign~f su~~ Electrician
//~~~
Ovners Name~~~,_~~
Addresso2lJt?"5' 191'1/171 LJp / .:::;-1:
/
City .5j>,f(/,) Phone2f'?'~<?~5'
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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
D.
Branch Circuits
S 40.00
S 55.00
S 80.00
see "B'1 above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
S 2.00
not included;
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
,% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
S 40.00
S 20.00
S 36.00
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