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Home My WebLink AboutPermit Electrical 2001-12-5 -~. ,.. ~. V .;:,... 'r . :' Job# 01-01338-01 Page 1 of 2 DEC 05 2001/8;48 AM/$ 3.15 ACCT#;821-00000-215004 RCPT#; 01-'0007!t17 /SANDI WESTON J08# : 01-01338-01 "\ COMMERCIAL PERMIT City Of Springfield , Community Services Division Building Safety Job Number: 01-01338-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 ). Location Of Proposed Site: 1701 S fi. St Spr Assessors Map#: "17033631 nO?;>. 3b . DO Lot: Block: AdditiOn: Tax Lot #: 06000 Subdivision: Owner: Address: SUB Springfield Utility Board 250 A Street Phone Number: 541-744-3726 City/State/Zip: Springfield, OR 97477 New Value: $800 Scope Of Work: Miscellaneous Tent Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Required Inspections .( I Building u0l1eh!m~~S~;~~8~~~e-~ S!Jelue~ -When all Fire Department requirem~ntSlifn.a1l{eG:jg~!!}qli~hON) :-0 8111JOJJ8qwnu J\q samJ elll JO saldo~ UI~~~~~O ell16u!lleo - ,;.rJO-cS6 tfttO 45;10.1" . ~: ,.., ew nOA '0600 lJ~JOJ lEIS SJB s0inJ es~l ~ ~.l.).:~- ~?O-GS6 H\tO ul ![t~l!m u06sJO ;J!.g Iiq~~l~~_~,~~O..~~!leO!J!lON ('I ,~ . \ -.. . __.. ' ",l.i...~. SCJIII..l MOil')' . aV~ .,':;:}_ Ii '...-:,; ...i~:.11 un,,':,;- ..... 'r, .., "-~ Height (feet):"t>..l\'J';'yl..JIJ..\;3J_IV Proposed Units: # Of Stories: Current Units: Census Code: Does not apply Final Fire Accessory: Total: Fee NOTICE: Paid On Receipt# . . .' THIS PERMIT$HALL EXP~~~~6nf( BUlldrng Permit AUTHORIZED UNDd6/-9~f.QQJR IJA'TT. State Surcharge For Building POJUlit "ENCE "~/b'5''iocff MIV~~T Building Administrative Fee UIVIM D OR 18J~~~ED F~ 7 Total Building ANY 180 DAY PERIOD. Grand Total Value/Quantity Fee Amount 800 $45.00 $3.15 $3.60 $51.75 $51.75 ~ , \' Job# 01-01338-01 I Page 2 of 2 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance 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 the project address is readable from the street, that the permit card is located at the front of the property, the approved set of plans will remain on the site at all times ri construction. D _I / ~ - 5 -01 1Date Pern1its are nan-transferable and expire if wark is not started within 180 days of issuance or if wark is suspended for 180 days. .' ~\o\foJing 225 1'il' l1:I STREET ~~e ",a,S \",e \~ use ELECTR1cAL PERMIT APPLICATION SPRINGFIELD OREGON 97477 \\\ ci\iC \a,n .' INSPECTION REQUEST: J\6~8~~~o s{e~. C' Number 0 (.r- () I Z 08" - 0 ( OFFICE: 726-3759 \:~~g, and doe \ \' . ~' . 1.~?{o'Ja,\. . g 3. .LJ:.1E FEE SCHEDULE BELOW 1. LOCATION OF ~TALLA~ c:..:----_______ h 70 3. fj-ft.r 0'........... ' ~ ~w Residential-Single .or oa"" - " d Signa,WI" Multi-Family per dwelling unit. ....o01.e . LEGALDESCRlt'nON ~u\" , " Semce Included: ~ /702 }Lfl ( o3ZO-u Items C t JOB DESCRIPTION 1000 sq. ft. or less . $106.0 tf-o~ / vi fL.~ Each additional 500 % sq. ft or portion thereOf. Z Each Manufd Home or Modular Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY Electrical Cvuuactor 51iuE. . Iffl/K..k., Address . $A8 .5 '-ibfi .$-1 City .sf(,i~.f'i<=wt Phone ~J -t.fal-f 35~"" s Supervisor License Number T T B. Services or Feeders Installation, Alterations or Relocation: Exp~ration Date ) () -.J - 2003 Constr Contr. Number }41' I B 4 -S6":' 2003 200 amps orless 201 aritps to 400 amps 401 amps to 600 amps ' 601 amps to 1000 amps Over 1000 amps/volts . Reconnect Only $ 63.00 $ 75.00 $12~.OO $163.00 $375.00 $ 50.00. " C. Temporary Services .or Feeders . Installation, Alteration or Relocation Signature of Supervising Electrician . 200 amps or less . 201 amps to 400 amps aver 401 to 600 amps Over 600 amps or 1000 volts see liB II above I $50,00 $69.00 $100.00 SO Expiration Date 5/ ~A crI3-'-bClSt4 Owners Name \t'{& \')\l(\ \~ L\ _ ' Address~~\.O 6\C\rlO( ~(~ City <:ril~~ho~e Silt 1(1)0 o~t\~~f~LATION D. Branch Circuits . New Alteration or Extensian Per PaneI One Circuit $43.00 . Each Additional Circuit or with Service .or Feeder Permit ' $ 3.00 Owners Signature: E.' Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited .Energy/Comm $50.00 $50.00 $25.00 $45.00 TheinstaIlatian is being made on ' property I own which is not intended for sale, lease or rent. 190: ~3IHSIj:"1 : 38NtlH~J OS'Ltl $ 3:aJ3~ lW~ 1003 W ()ON: 31 tlG G03LOOO-I0:#8N~~1 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE ,tr;C:;; 7% State Surcharge 8% Administrative Fee TOTAL . . .cO/, ~~ I, The followina project as submitted has the tollowing zoning. e 1es not require specific land use approval. 225 FIFTH STREET ,}-{ I ELECTh..~AL PERlv1IT APPLICATION SPRINGFIELD, OREGON 9f407"7ng \ 1....-1 1 INSPECTIONREQ~t: 716-3'76;. J~l~.~ C~LY JOb.Number 01 ~O / 3Cftf -0/ OFFICE: 726-3759 Authorized Signature ~ : . COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATION , l'7tJl 5, A LEGAL DESCRIPTIO)'l' 1703~ bO 0 OGuuu A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum JOB DESCRIPTION _i 115'&./( Sf'C1Ln "fu / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $ 50.00 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor SOn/frD I 5ecurHy Address '748 Gd()(;/ Cb~frpy e Ls. Rd. I City' ?M8-~ Phone 4fol-5P18 B. Services or Feeders Installation, Alterations or Relocation: Supervisor License Number, . -~' 3ZCJ5 JLE 200 amps or less 20I amps to 400 amps 401 amps to 600 amps 60 I amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 63,00 $ 75.00 $125.00 $163.00 $375:00 $ 50.00 Expiration Date /0- j- 02 Constr Contr. Number (05/49 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 7-04 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above $50.00 $69.00 $100.00 , Branch Circuits New Alteration or Extension Per Panel One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 Owners Signature: ((2. < -11 E. Miscellaneous (Sendce/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $50.00 $50.00 $25,00 $45.00 4-SOD The installation is being made on property I own which is not intended for sale, lease or rent. 190:~jIHSV~ 00'2 $:39NVH:J OO'gl $ 1 SL"8l $ 6:a:J3~ lWV 1006 gO J3G:31VQ g3tLOOO-I0:#SNV~1 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5, SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee 4soV 3/5 .~ &0 TOTAL (5{'.75 ::> Dc t - 1 a - 0 1 01: 43 P e following proJect as su~mit~epde~~~ t~~~I~~~in9 P _ 0 1 ning. and does not reqUire approval" y.\- J:.. 22.5 r1r I rl STREET zon(lng{( I' I, . ELECTRICAL PERMIT APPLICA TrON SPRINGFfELD. OREGONa~~477 :;l.~\ INSPECTIOi\' REQUEST:' 726-3769 , Dy.p 11 J AI' Ci'J:...!.u.b-Numhcr (!) /_~~CP / OFFICE, 726.) 759 Authorized SIgnature r-~"""U 3, COlvITJLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATlOl\' /7~/ \~ ';9 // S;r- - -r A. New Rc.~idcllti:ll-Sin~le nr Multi-Family per dwelling unit. Service Inclulled LEGAL DESCRIPTJON ll.03'~'OO __~_~~O_ Items Cust S Ilrr. JOB DESCRIPTJO:'</ (;.e~ ~" 1000 ~q, ft. or less Each additional 500 sq. ft or portion ihcrc0r E a;;h Mantlfd Home or Mcdular Dwelling Service or Feeder $106 00 Permit.:- arc noro-tl<lllsfemble 'lIld expire If work is not stlrted witllin 18U days of issuancc or if work IS suspended for IgO days, $ 19,00 $ SD.UU 2 CONTRACTOR INST Al..LA TlON ONLY B. Scr\'il;cs 01' Feeders Installation, Alterations or ElectricalContrac!(Ir Alert :electric, Inc. Relocatioli' Address 1970 N. ,28th Street Supervisor License Number 243-S 200 amps or less 2:)] amps to 4{)O amps 40 I amps to 6UO amps (jlJ J amps to 1000 amps Over J 000 amps/volts Reconnect Only $ 63.00 $ 75.00 $125.00 S163.00 $375,00 S 50.00 Ci~SI?ringfieldpllone 747-2213 Expiration Date 10-1-04 Constr Contr, Number 12772 C. Temporary Services or F~lIel'S InstallatioD, Alteratioll or Relocation Expiration D:1tc 5-22~03 . 200 amps or less 201 amps \(! 400 amps Over 401 to 600 amps Over 600 nmps or 1000 volts see "8" above $50.00 $69.00 .$10000 Signature of' Sllflcl'\'i.\il1~ Electrician D. Branch Circuits New Alteration or Extension Per Panel Address I DO I City S f pi) M,tltN 51 Phone 7L(1(--37l b Oll~ Circuit $43.00 Each Additioni.ll C!rcuit or with Service or Feeder Permit $ 3,00 OWNER INSTALLATION The installatIon is being made on property I own which is not intended for Silk, lease or rent. E. J\lisccllllneous (Scl'Vicc/feedcr not included) -Each installation Pump or irrigation SigufO,ltline Lighting Li:uited ElIergyIRes Limill,d ElIergy/Conml $SO.OO $;0,00 $25.00 $45,()O Owners Signature: ~'linimulJl ~Icctric Permit Inspection Fec j~ S4:;.00 .;- SllJ'chargc,~ - TOTAL ,/S:P't? ~~./~- 3' " c? , <l7S 4. SUBTOTAL OF ABOVE 7%) State Surcharge S% A(lminbtrati\'c Fee "121\