HomeMy WebLinkAboutPermit Electrical 2000-2-11
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Job# 00-00253-01
Page 1 of 2
TRANS#:Ol~0000568
DATE:FEB 11 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job' Number: 00-00253-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1545 S Brooklyn St . Spr
Assessors Map#: 17033444
Lot: Block: Addition:
Tax Lot #: 02800'
Subdivision:
Owner:
Address:
Lane Shelter Care
Phone Number: 686-126-2
City/State/Zip: Eugene', OR
Alteration Value: $0
1790 W 11th
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
New Way Electric Inc
Po Box 21503, Eugene, OR 97402-0409
Registration #
51088
Expiration Date
6/27/1999
Phone
541-686-2365
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
02/11/2000 568
02/11/2000 568
Value/Quantity
Fee Amount
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
$50.00
$3.50
~~
"i
Fee
Electric Administrative Fee
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l$;.atiJ:e . - /
I Job# 00-00253-01 I
Paid On Receipt#
Electrical
02/11/2000 568
Page 2 of 2
Value/Quantity Fee Amount
$1.50
$55.00
$55.00
2-11 -00
Date
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. ubmitted has the following
The following prole~~~~:qUire specific land use
zoning, and does
approval. ~ C~
z.onlng -
b-II~O'D. '
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225 FIFTH STREET
SPRINGFI~LD, OREGON 974 01te
INSPECTION REQUEST: 72~-JbR2ed Signature-
OFFICE: 726-3759 un
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LEGAL DESQ)l;P1:IpN
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JOB DESCRIPTION
raIJo O/Y11 /).i}tf/7 A / LI' f./
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Permits are non-transferable and expire
if work is not started within 180 davs
of issuance or if work is suspended for
180 days.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
2--11-tJ'D I
~(, 4
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DATE:
RECEI PT #:
RECEIVED BY:
~kECTRICAL PERMIT APPLICATION
City Job Number 0 (j # 0 0 ~ 5 3.- Of
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
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
_ ,Installation, Alterations
Electrical contractor~!A)aA~or Relocation:
Address jJc) vi)d c.2/.j'2J, -i . . 200 amps or less /
. ,-,-- I . 201 amps to 400 amps
Ci ty _0 A OLI1..P Phone.54/~ 1& cl,3~ J"/ 401 amps to 600 amps
/ 601 amps to 1000 amps
Supervisor License Number _ 3d Y d 5 Over 1000 amps/volts
/ ^ / /~I /6 I Reconnec t Only
Expiration Date u (/
, ' I
Constr Contr. Number~ /6J8
Expiration Date /7 (t? (/:J 7 / [) /
S~~~~~g Electrician
o~ne;i Name ' Lo.~ Is Lit/\. (. l' ,..,(JJ
Address: I', q () vJ, J It'tl
Ci ty IE09&J.e Phone &fb...) L ~ 2-
OVNER INSTALLATION
$ 85.00
$ 15.00
.$40.00
$ .s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5tJ.ot)
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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service'
or Feeder Permit
E.
5~ SUBTOTAL OF ABOVE
~ ~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SO-Do
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