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HomeMy WebLinkAboutPermit Electrical 2001-3-1 ':1 .........-..-..... .,-" ,~;f -.-'"-.. ,,," Job# 01-00188-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety I"~ Page 1 of 2 TRANS#:Ol-0004588 DATE:MAR 01 2001 AMT RECD:2 $ 55.00 CHANGE: /' CASHIER: 004 Job Number: 01-00188-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2789 ' c St Spr Assessors Map#: 17033614 Lot: Block: Addition: Tax Lot #: 21400 Subdivision: Owner: Dwayne Crabtree 2789 c street Phone Number: City/State/Zip: springfield, OR 97477 Alteration Value: $0 Address: Scope Of Work: Electrical Only electrical service change Contractor Type Electrical Contr Contractor Lantz Electric Inc 4131 E STREET, SPRINGFIELD, OR 97478 Registration # 84679 Expiration Date 7/14/2002 Phone 541-726-0659 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. Electrical Service Required Inspections I Electrical I - Must be approved to obtain permanent power. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee' Paid On Receipt# Electrical 03/01/2001 0004588 Value/Quantity Fee Amount Permanent: 200 Amps or less $50.00 Fee Job# 01 ~00188-01 I Paid On Receipt# Electrical 03/01/2001 0004588 03/01/2001 0004588 State Surcharge - Electrical Administrative Fee - Electrical Total Electrical ~. Page 2 of 2 Value/Quantity Date Fee Amount $3.50 $1.50 $55.00 $55.00 , t as subm1tte . The following prolec t require specific land use zoning, and does no 22S FIFTII STREET approval Lv(\--" SPIUNGFIELD, OREGON 97/,77 Zoning, ~,. 1-_0 '_ INSPE~ION.REQU;ST: D1~~-37~Q, '.10.) OFFICE. n.6-37J9 , d S'gnature ~ Authonze I 1. LOCATION OP INSTALLATION :2 ?-a-~ L ~;\ LEGAL DESCRIPTION --0 (J?1 ? t, III , ::<) ~/_~ ,,'--01 (I' JOD DESCRIFrIO~ 7~(//L~ /~~~ Permits a~e non-transfer~ble and expire if work is not st~rted within 180 days of issuance or if work is suspe~ded for 100 day~. 2. CON1~CTOR INSTALLATION ONLY Electric.al Contr<:1ctor Lfu~J7 EZ:ec",+e,c !ltldl:essc-=3~~Co ('-eclCJ...R f/, l\ S Ci ty ~L-e~n-l1Lll Phone12fp.D09 Supervi:,or License Number 3 4CJd ~ Expiration Date } 0 1\ \ 0 1 Constr Conte Number 84lo'1~ E>:piration Date "7/Il\ \ 00 Signature of Supervisin~ Electrician ':~'~8 D. Owners Name-JJ"I("~~~4.~/YJ~ Address 2~? ~ 5/ ~ Ci ty ~~ ~~. Phone , /' 11' ;? 7'?;> O\lNF.R INSTALLATION The installation is being made on property I own which is not intended iJOO: t&i~s~~le I lease or ren t. : 39N~KI . 00' sqJ~n2~cr:JJ.1 q}.Rlure: mOG TO ~I;;lW:31\;Ja 88Si;7000 TO ~ ~S~MJl , I -~------------------------------------- , DATE: RBCEIPT ~: -------...-------- HECETV!:n BY: ELECTRICAL Ci ty Job Number ~I -?'.t::> ~:;g",C:; / 3. COMPLETE PEE SCnEDULE DELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: A. Items 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Cost Sum $ 85.00 $ 15.00 $ 110.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ~L:J .df!J> , 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pemi t E. Miscellaneous (Service/feeder -Each installation P~mp or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Com~ 5. SUBTOTAL OF ADOVE }% State Surcharge TOTAL $ 35.00 ,$ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5~.,&7 ? "'5e? I,~ ?--'?~C> Oregon Construction Contractors Board>> License Details Page 1 of 1 OREGON CONSTRUCTION CONTRACTORS BOARD Query Details Details on Oregon License: 84679 NAME: LANTZ ELECTRIC INC ADDRESS: 4131 E STREET SPRINGFIELD OR 97478-0000 WORK PHONE NUMBER: 541-726-0659 LICENSE STATUS: Active EXPIRATION DATE: 7/14/2002 DATE FIRST LICENSED: 7/14/1992 ENTITY TYPE: Corporation LICENSE CATEGORY: General Contractor/All EMPLOYER STATUS: NON-EXEMPT BOND COMPANY' DEVELOPERS SURETY . AND INDEMNITY CO BOND AMOUNT: $15,000 BOND EFFECTIVE TO: 7/14/2002 View Bond History INSURANCE COMPANY' LIBERTY NORTHWEST . INS CORP INSURANCE AMOUNT: $1,000,000 INSURANCE EFFECTIVE 7/14/2001 TO: View Insurance History View Claims History View Associated Names View X-Reference Licenses View SIC Codes View Buildina Codes Division License Details QUERY MENU CCB HOME Send mail to Web Administrator with questions or comments about this web site, Last modified: February 15, 2001 State of Oreaon Liabilitv Statement http://ccbed.ccb.state.or.us/Bill/regn0222.asp 03/01/2001