HomeMy WebLinkAboutPermit Electrical 2000-5-22
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I Job# 00-00772-01 I
Page 1 of 2
TRANS#:01-0001823
DATE:MAY 22 2000
AMT RECD:2 $ 63.80
CHANGE:
CASHIER=032
CITY OF SPRINGFIELD? OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00772-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5738 Camellia St Spr
Assessors Map#: 17023344
lot: Block: Addition:
Tax lot #: 01203
Subdivision:
Owner:
Address:
Dan Howes
5738 Camelia
Phone Number: 541-747-4845
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Dan Howes
5738 Camelia, Springfield, OR 97478
Registration # Expiration Date
Phone
541-747-4845
Quad Area: 4RSE
# 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
Final Electrical
Required Inspections
I Electrical I
-Must be approved to obtain permanent power.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
zoning, and does not require specific land use
approval.
Zoning Li) n,..
Date '?....'2.- '2 -0-'0
225 FIFTH STREET Authorized Signature ~ 'P~CAL PERMIT APPLICATION
SPRINGFIELD, OREGONC924~/ 0, '
INSPECTION REQUEST 726-3769 Ci ty Job Number rl '- trD ,7~""" C> (
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
? ., ~ 0 <J4-1-.. 'E:-'L LI J\.
LEGAL DESCRIPTION
J'70rz... ?~ w ~ - 0 Id.. 03>
JOB DESCRIPTION ,
'2..--00 ~r ") ~v I ct"
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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
Ad~,
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/
City
Supervisor
Expiration ~
rconstr C0'l1't"r. Num{~er
Ex 'ration Date
Signature of Supervising Electrician
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Owners Name VA-1'\. ~O t.0 Q.'S
Address
613c(,
~~C'
/47- Lf ( If S-
Ci ty 5f'V"l1\.O~ Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Gm:~3IHSl:J:J
:39Nl:J~ers Signature:
08'~9~" :a:J~~!Wl:J(7) d
000(, r;,~ '- (\IU .,..,. . ,
~G810 '~SN~Mt----------------------------
DATE:
RECEIPT #:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less >< $ 50.00 60'cr0
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 amps' 'or 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
,
E.
One CircJi t ~ $ 35.00
Each Addi'tional
Circui t or wi th Serv; ('P. , .I ~. /""
or Feeder Permi t .!. if _ $ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
, TOTAL
"
b~'
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-' /.71' =
~ 63.f2)_
Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
~~
Signature
Job# 00-00772-01
Paid On Receipt#
Electrical
OS/22/2000 1823
OS/22/2000 1823
OS/22/2000 1823
OS/22/2000 1823
Page 2 of 2
Value/Quantity Fee Amount
1 $50.00
4 $8.00
$4.06
$1.74
$63.80
$63.80
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Date