HomeMy WebLinkAboutPermit Electrical 2000-2-1
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, ubmitted has the followln
The,follOwin9 prOle~~~~:qUire specific land use
zonmg, and does
approval. tv
Zoning - -"'"
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ZZ5 ~'U'TlJ STREET Date
SPRINGFIELD, OREGON 97477 ~'lionalure
INSPECTION REOUESTI>Ulhm~.nTl~ .
OPFICE: 7Z6-3759
E~C1'RICAL PERKIT APPLICATION
Ci ty Job Number 00 - 0.019-\ ,~O \
3.
1. LOCATION OF INSTALLATION '\-'
\ Clni ~( ;<ffin . X' OKII')\ J Y-P8,., A.
e>\. .LE(;AL DE~~~~ 1-'(\}03d.b~3-(
~.'N.... _ : 0]"-' o.&.i{Q;;1..
JOB DESCRl:1"l'TON \, \ (' _ '^ ,.1 1000 sQ. ft. 01- less
~\ \-i::tb V ~ L'Iv. r\\.a::~:Lj\lllJ I, 'll.I\00uach addi tional 500
o ;)(:::5'D - 30 ' sq. f t or ponion
erml ts aloe non-transferahle and expire theteo!
if york is nut Slarted vithin 180 day~ Each Manuf'd Home or
of issuance or if york is suspended for Modular'DveUing
IBO days. Service or Feeder
Z. CONTRACTOR INSTALl~TrON ONLY B.
Electrical contri1cto~~\,,\V p\O~e.
Address~'lL1 S-Gu ~ll.LC~,l-.\"\
City \''6''' n\ Phon~~l"W~OO
SLlpel'vi.~(H. Ljccn1iC: Number 4-\ ~DS
Expi<a:ion Date
Cons t r Con t r. NlJmber___5;}.~
Expi "a t ion Da te
c.
<4- 3tfdtll~
. Signature of Supervising El~..
a,,.....-,_~
("7-' v-./;---- ,/
Ovner; Name Sl..()J'v1,o I (0""0:.&,
Address o(j 20/ $0 C,e-~s:J..: Pl
City~~__ Phone<,0560S-Lll1d
OWNER INSTALLATION
The install.1tion i" being marle on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
----....-----.... ---- ~..~--------------------
DATE: :;l.-l-O 0
RECEIr', fI: -,_.-,"
RECEIVED BY: _" _.~IJ J 'tIt.b
COMPLLTE PEL SCllEDULE BELOV
Nev Residential-Single or
Multi-Family per dwelling unit.
S~rviee Ineluded:
Services or Feeders
Illstallation, Alterations
or Ro:location:
ZOO amps or less
201 amps to 400 amps
{.Ol amps to, 600 amps
601 amps to 1000 amps
OVer 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
S 15-00
,$ 40.00
S 50.00
S 60.00
SlOO.OO
$130.00
$300.00
$ (.0.01)
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
D.
Branch Circui ts
Nev, Alteration or Extension Per Panel
".
One Circuit \
Each Additional
Circuit or with Service
or Feeder Permit
E.
S 40.00
$ 55.00
$ 80.00
vol. ts :ice tlB11 ali'C'V'e
S 35.00 3.E2i:f)
S 2.00
Miscc],l~ncous (Service/feeder
-Each installation
Pump or irrig~tion
Sign/Outline Lightillg----
Limited Lnergy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~ State Surcharge
3% AdmillistrativQ F~e
TOTAL
no t included)
$ 40.00
$ 40.00
$ ZO.OO
S 36.00
98.{20-
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I Job# OO-b0154-Oll
Page 1 of fRANS#: 01-0000424
DATE:FEB 01 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 059
SPRINGFIELD
~
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00154-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1807 EE Pioneer Pkwy Spr
Assessors Map#: 17032623
Lot: Block: Addition:
Tax Lot #: 02402
Subdivision:
Owner:
Address:
Sharis Corporate Center
8205 SW Creekside Place
Phone Number: 503-605-4112
City/State/Zip: Beaverton OR, OR
Alteration Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Phoenix Electric Co
7379 Sw Tech Center Dr. Tigard, OR
97223-8049
Registration #
52288
Expiration Date
12/23/1999
Phone
503-684-3600
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
IArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
......... '..
.
Fee
Job# 00-00154-01 I
Paid On Receipt#
----Sectrical
02/01/2000 424
02/01/2000 424
02/01/2000 424
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
.
Page 2 of 2
Value/Quantity Fee Amount
1
$35,00
$2.45
$1,05
$38.50
$38.50
Date