HomeMy WebLinkAboutPermit Electrical 1997-8-4
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225 FIFTH' STREET \.\(\~\Ct;.' ~'~~r:-.\.\;rf,e f,q~~?'~~~~le('~ sub itt ELEc:nuCAL. PERMIT AP PLI CAT. ION
SPRINGFIELD OREGON' !JJ,iJ~~~' i;1 . ~(l(~~~'rlnd ~ D'"~\.+'e~ . m ed h."'~ ,h~ following 1 7 ra d t.f
:INSPECTION REQUES'll~\S71~~~~O~p~%,~~\)O ~ J.p' elqu'reSPGcii1:Y'('j~b' Number Gf.@6
OFFICE: 726-3759 r>-\j\~O DO~c\S Zonin () .
.' 'f'\M.~~~C€. ~~1q~ ~d~1. .Gb"'H'P.bE*"E- FEE SCHEDULE BELOV
. .1. L?,CATION OF. INS~~LA~~ ~ y", 6_ - .::L ..,
3d. -<: /7L J / " ~~ A~Jth()ri.,.c<>.rl '>1 ,~:. (\~w ReSlden Oal-SIngle or
. '. .,gna uleJ.J..M.i;}.\l-t-i.~1?ami.l~perdwelling 'uni t.
LEG~rP~~f..TIPft Jr-> <.... Service Included: . .
t I u.:5..S S' MU '1:..",0 CJ. ' , ' It ems Cas t
:,:
Sum
..
1000: sq. ft. or les~
Each additional 500'
sq. ft or portion
thereof .
E~ch Manuf'dHoilie ot
ModUlar.Dwelling .
Service or Feeder
$ 85.00
$ 15;00
$ 4.0.00
, . ,
Eledrica,l'Contb3.ctoi Sonit'rolSecur i ty
B.. SeEvices or Feeders
Installation~Alterations
or Relocati'6n:
2. CONTRACTOR INSTALLATION/:ONLY';'
~: L.'
Ci ty Euu'ene'.
'; Phone 461'- 5678
200 a~psor less
201 amps to 400 amps
401 amps to 600 ailips
'601 amps to 1000 amps
Dver 1000 amp~/volts
Reconnect Ol}ly
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Address P. O,c Box2J009
.Supervi~o.r License N~.lffiber. ~/&RcLIf5 t
. "Expiration Date' . /O-/-.;/lCJ"
Constr Contr....Number,65149.
C~ . T~mporary. 'Services or Feeders
Installation, Alteration or Relocation
.. 1.
ExpiratioQ'Date ,7-2000.
.. " ..'..' F,.:..,/.^ >.,.:
200 amps or le~s
201 amps to 400 amps
Over 401 to 600 amps
pver 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Si~. re..o.7supe.rv. iSing~le~tr~:
.~~~..,
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, ",..
. owners'.Name.,--5.:LJr/~(}t,~!cI5;!wd1 Disl-~'
. . , ,'J .
Addre~s;5~.S /YJ//'S..f.'
, :Ci,tY :5fr"Y7J"~'~ /r:Lphone. '7,;Q~ - ~33?")
O\lNERINSTM.i.ATION'
D. . Bran~h.Ci~cults
New, Alteration or Extension Per Panel
One Circui t
Ea'ch Addi tional
Circui t . or wi th Service
or Fe~der Perm.i t .
$ 35. 00
$2.00
oWners Signature:
, .
. E. Miscellaneous (Service/feeder not included)
-Eac.n ifi~tallat iori
Pump &~ iirigation~ $ 40.00
Sign/Out~ineLighting $ 40;00
Limited Energy/Res $ 20.00
Limi ted ~nergy /Comm / $ 36.00 3trJov
Theinstallati6n isbeingmacleon
property I .ownwh'ich.is.not intended
for sale,' lea,'se or n~ht.
D~fB~----~t~~~-~----~~~~~~-~-----
RECEIPT '#:." '. {}")-Id1 (f) _~ "
RECEIVED BY : . tt.. .IM AA _.
s. SUBTOTAL OF ABOVE
5% Sta:te' Surcharge .....
3% Administrati'v:e Fee
TOTAL
.3(00-0
I '8-0
108
.,:=? 8' &''&'"
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 970384
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 525 MILL ST
Assessors Map #: 17033523
Tax Lot #: 04500
\
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Owner: SPFLD SCHOOL DISTRIC
Address: 525 MILL STREET
Phone #: 744-6375
City/State/Zip: SPRINGFIELD, OREGON 97477
Description Of Work: REMOVE WALL/REMODEL
REMODEL
Value:
0.00
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
744-6375
QUAD AREA: 1CNW
-- OFFICE USE--
LAND USE: 6800
Item
MINOR INT. REMODEL
Square Feet
x
$/Square Feet
Value
5,025.00
TOTAL VALUE OF PROJECT
5,025.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
PLAN REVIEW FEE
56.50
4.53
0.00
0.00
0.00
0.00
36.73
SUBTOTAL PERMITS
97.76
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
97.76
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a. special inspector shall be employed by
construction of any following "*" work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require othe~ inspections of any construction work to ensure compliance with
the Building, City'or Development Code.
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SP"'NG"ELD ~
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Job Number: 970384
Page 2
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
DRYWALL - Prior to taping.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS ---
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 04/11/97
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 employees who are ~n compliance with ORS 701.055 will be
4
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit card is located at the front of the property, and the approved set
of plans will remain on the site at all times during construction.
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Date I' /
signa'(u~
--- VALIDATION
Date Paid:
)5;)m
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Receipt Number:
Amount Received:
Received By:
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