HomeMy WebLinkAboutPermit Electrical 2000-3-10
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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Permits are non-transferable and expire,
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor -E:S .,'A
Address /)./0 Oal::txJ.cJ, R.J.
Ci ty Eugl.J1p i oR. Phone5'l{-'IIA=S5W~'
Supervisor License Number s:1S1~/tr
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Expiration Date 10.... 1- LOo <-..
Constr Contr. Number I/I~~
Expiration Date ~ - {):J... - 0 I
Sign;ore of Supervising Electrician
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Owners Name u.h'P'~ I:nd. ('OJ{-
Address_~qrl.. Q S~
CitySpr,n,&ld Phone:EfJ~ 1J.rijj
OVNER INSTALLATION
I
,.,...../. The ins talla t ion is being made on
property I ow~ which is not intended
for sale, lease or rent.
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:39N~H:JOvners Signature:
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RECEIPT #: ~ or ., J
RECEIVED BY: "fOJV
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number {JO ~ (X)3~-:-~O I
3.
COMPLETE FEE SCHEDULE BELQV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. f t. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~.oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above.
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting I
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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5.
SUBTOTAL OF ABOVE
1% State Surcharge
3% Administrative Fee
TOTAL
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Job# 00-00305-01
Page 1 of 2
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00305-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 392 Q Sf Spr
Assessors Map#: 17032624
Lot: Block: Addition:
Tax Lot #: 02100
Subdivision:
Owner:
Address:
Wayne Endicott
392 Q Street
Phone Number: 541-746-9711
City/State/Zip: Springfield, OR 97477
New Value: $1,000
Scope Of Work: Sign
Bow Rack Sign
Contractor Type,
Sign Contr
Contractor Registration # Expiration Date
ES&A
1210 Oakpatch Road, Eugene, OR 97402
Phone
541-485-5546
Quad Area: 2CNW
# 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.
Sign Electrical
Required Inspections
I Electrical J
-After connection is made, but prior to energizing.
L Sign l
Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete.
Final Sign -After all required inspections are conducted and approved and the sign installation is complete.
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:
.
.
Sign District:
~Sign DimensionF
Vertical: 8'
Job# 00-00305-01 I
Community Comm Type of Sign: Wall Sign
Horizontal: 4'
Height (Above Grade):21'
Sqr. Footage: 32.
Illumination? ~
Comments:
Fee
Each Sign or Outline Lighting
, State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Sign Permit - 0 - 35 Square Feet
Total Sign
Grand Total
Plan Check Type
Sign
Checked By
Kaye Wilson
Thickness:
Page 2 of 2
Face Type: Single Face
From Grade To Bottom: 14'
Sign Material:
Paid On Receipt#
Electrical
03/10/2000 893
03/10/2000 893
03/10/2000 893
Sign
04/01/2000 760
Date Completed
02/23/2000
Value/Quantity
Fee Amount
$40.00
$2.80
$1.20
$44.00
1,000
$40.00
$40.00
$84.00
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 pertaining to the work described herein. I further certify 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 project address is readable
from the street, that the permit card is located at the front of the property, and the approved set of
~nsnremain on th: sit~all times ~i~he installation of the sign(s).
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