HomeMy WebLinkAboutPermit Electrical 2000-3-13
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. I Job# 00-00385-01
Page 1 of 2
TRANS#:01-0000904
DATE=MAR 13 2000
AMT RECD:2 $ 36.00
2 $ 3.60
CHANGE:
CASHIER: 059
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00385-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Une: 726-3769
Location Of Proposed Site: 860 Beltline Rd Spr
Assessors Map#: 17031500
Lot: 'Block: Addition:
Tax lot #: 02400
Subdivision:
Owner:
Address:
Oregon Imaging Center
860 Beltline Road
Phone Number:
City/State/Zip: Springfield, OR
Alteration Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Sonitrol Security
P.O. Box 21009, Eugene, OR
, Registration # 'Expiration Date
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. wiU be made the following
working day.
Required Inspections
Electrical
Low Voltage
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
03/13/2000 904
03/13/2000 904
Value/Quantity
Restricted Energy
State Surcharge For Electrical Permit
1
Pbone
I
541-461-5678
Fee Amount
$36.00
$2.52
I "
Fee
Job# 00-00385-01
Paid On Receipt#
Electrical
03/13/2000 904
Electric Administrative Fee
Total Electrical
Grand Total ' ,
(IZ~~
Signature ~
Page 2 of 2
Value/Quantity Fee Amount
$1.08
$39.60
$39.60
3-/,3--00
Date
~
. .
nmg, an
approval'
Zoning C-e--
225 FIFTH STREET Date '2) ~ I --::2; ~. n
SPRINGFIELD, OREGON 97477 ., ~
INSPECTION REQUEST: 72C~~g~d Signature
OFFICE: 726-3759
1. LOCATIO~ iff INST~~~I. ON, ,
~ 10 0 IE.! f:nu )n,-P, ~.'.:l p..{J L f)
, .. tj'7tf'71
, LEGAL DESCRIPTION
, ,( -:;:0;, lli.o o. . :.;' i 0 ?/-Iti!t) - :,' I { .
,.
, I
/jJOB DES~PJ'ION "11:" ~' "//'
~,( /?1J:1/Yn.{(,~J, .. ':\~ . 7U
. . J .,. .
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
g.:. ty Job Number dO ...{XJ5 85 -01
.
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500 ~
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Sian it ro I Secu r i ty or Relocation:
:._(,.;
Address P.O. Box 21009
Ci ty_ EUllene
Phone 461-5678
Supervisor License Number
, '-
Expiration Date
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 65149
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date "
'6":28-=-00
Signature of Supervising Electrician
~~'
Owners Name Cfbu~ J)/J11 ac;)/Ylu r!.bi D.
Address ?rloo /.~/.HL/P(f./ PLiO ,
Ci ty .sf) F L /) Phone -0 5!rJ- .) L3.1
OVNER INSTALLATION
200 amps or less
201 amps to 400 amps
Over 40i i6 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ne~, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit~or with Servic~
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy /Comm I. $ 36.00 :.3idJc
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
90lf
V --I ~... (}D
..fbJJJ<7
5. SUBTOTAL OF ABOVE
'\'7% State Surcharge
3% Administrative Fee
TOTAL
"g6. 'i)tJ
~J 5".1-
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1j 3Q, &, 0