HomeMy WebLinkAboutPermit Electrical 2000-6-15
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I Job# 00-00947-01 I
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Page 1 of2
TRANS#:01-0002173
DATE:JUN 15 2000
AMT RECD:2 $ 49.50
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00947-01
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:
Address:
Dollar Store
2005 olympic st
Phone Number: 541-746-6965
City/State/Zip: springfield, OR 97477
New Value: $0
Scope Of Work: Commercial
branch circuit addition
Contractor Type
Electrical Contr
Contractor
Reynolds Electric Inc
2175 W 2Nd Ave, Eugene, OR
97402-7103
Registration # Expiration Date
17252 2/8/2001
Phone
541-343-7297
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. NOTICE:
Required Inspections
Electrical I
-. - --""';l," ..--. '/' , t:".....I~r-I,..."'I"UI:"'AI"'OV
II Ih,) I ....., 1..,,, I \"I., ._......,.. r.._.. ...-
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete.
AUTHORIZED UNDER THIS PERMlTlS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories: Height (feet):
Current Units: Proposed' Units:". ' .~.. .~':Ulltl_. JUv,
Census Code: Does not apply' olioV\' wlef adr>o1ect bv tile Orenon Utilit.
f ~ ~l" "",-'0' .... -~~ ~or'
~'i; I r.~~ t; I \. . ,I-' I' !' I 'f, ~. . . -. . .
" . .' '.. ,. -' ., ',.(Ii
0;.,:_ ';.,..1\ '-,,,tl\. "~,I"', I ..J', .\.
1P(, "1""'1 nm' l"l11+f'1l"l ,~or":'~ q, "1' .!:I~S b
CDiI'p~1 "I:~ ,;'Hr:". \'"(''''' :: r :..,;;,11;>
. "mh'" 'pr ih~ [l' 'oon l:iitit'. I"otilicalicr
. '"11111\
Total:
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Job# 00-00947-01
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Page 2 of 2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Electrical
06/15/2000 2173
06/15/2000 2173
06/15/2000 2173
6
$45.00
$3.15
$1.35
$49.50
$49.50
Branch Circuits W/O Feeder or Service
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.
Signature
Date
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02111/98
.",
10:22
'5'50_6
3689
SPFD DEV. SER. ~
SPRINGFIELD
~001
~. ubmitted has the following
The following prql9ct as 5 . ire specific land use
. nd does not requ
225 FIFTD STREET zOnlng'a~' ~ ELECTRICAL PERKIT APPUCATION
SPllIhbU.Ili.D, OREGON 11fJ'fi . (I JJ../, .
INSPECTION REQUEST: 726_3Mlng b<--'t4;'grfiiJJ Cjty Job NUJlberOO~OO '?'t?-O I
OFPTCE: 726-3759 Dala ,~ , \
, r/.~ ?,- m~ FEE SCHEDULE !lELOV
1. LOCATION OF :tNST~ Slgnatur.
zoo -S- c>~.,.,......t' ~ . A.
LEGAL DESCRIPTION
(703 Z'S'f 2.
C> C:> 5e c;"
i
JOB DESCRIPTION :
'l?UrNc.1-I C-t tile.. ,,4..\::)Q;
i
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Permits are non-transferable and expire
if vork is not started within 180 days
of" issuance or H work is suspepded for
180 days. I
Ci ty Phone
OVNER INSTALLATION
The installation is being" made on
property I own vhiCh is not intended
for sale, lease or rent.
Owners Signature:
DATE: '
RECEIPT ..:
RECEIVED 'BY:
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
SerVice or'Feeder
Items
Cost
Sum
i .
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
c:\ _Ii\. ~\ _ L, Installation, Alterations
Electrical Contractor ~,~'{"~0~ i:::1f'CIl \ ~ or Relocation:
Address'rl-\l~ l..L). -::--. f"\~ . 200 amps or less
i~(>; 201'amps to. 400 amps
City~D;Z.~ _ Phone3l\--~- Jo-t ') 401 amp's to. 600 amps
\J 4.1'-0. 601 amps to 1000 amps
Supervisor License Number ~~~~. Over 1000 amps/volts
\ . i Reconnect Only
Expiration Date\n\D\ D\ '
Constr Contr. Number \ 1.'&'5'd-
Expiration Date n~ D~\D\
Signature ~supe~iSing Electrician
~~/7~/~
Ovners ~ .
Address
S 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$lOO.OQ
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation~ Alteration or Relocation
200 amp~'ar less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
D.
Branch Ci rcui ts
Nev, Alteration or Extension Per Panel
."
$ 40.00
$ 55.00
$ 80.00
voits see liB" above
One Circui t $ 35.00
Each Additional
Circui t or with Service /
or Feeder Permit ~ $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
~ State Surcharge
3% "Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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