HomeMy WebLinkAboutPermit Electrical 2000-10-17
Job# 00-01552-01 '
Page 1 of 1
TRANS#:01-0003505
DATE:OCT 17 2000
AMT RECD:l $ 40.75
CHANGE:$ 0.05
CASHIER:059
iii,.,
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
. Building Safety
Job Number: 00-01552-01
225 North'Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1012 Centennial Blvd Spr
Assessors Map#: 17032644
lot Block: Addition:
Tax lot #: 10000
Subdivision:
Owner:
Address:
Jaime Perpinan
1012 Gentennial Blvd
Phone Number: 541-746-8025
. Scope Of Work: Electrical Only
New circuit to dryer and water heater
, City/State/Zip:.
Alteration
Springfield, OR 97477
Value: $0
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
,,,,C"'Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
. "',,~'-~~r\'".:;'~.J_.
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recordj~'g"8t.lt.~3769., All inspections requested before 7:00
a.m. will be made the ,~ame working day, inspecpo'?;'s'reqeJeSted after 7:00 a.m. will be made the following
working day. HIS PERMIT SHAL .
RAUTHnQ.'..""7I::..... ~;,.t<'i "L EXPIRE IFTI-lr= I AI, ~t". '
egultedf.1Sp"",..,.:-,O~1i - " .:JflT\
l ;(){I,1f"Ar:N,r ~.I) ~.... HIS PERMIT /S
, ~~'^V:" EI~C!~lca'DR /S ABJINDO NOT
Final Electrical. -When all eleCtrical wdrl<.r$'\S0mp.l~.!~~IOD. NED FaA
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: . Accessory:
Fee
"', f# Of Stoties:. :.I"., Height (feet):
'Current Unitl?hl(-~I 0 ]"::'QvIrEP:r9.R<?;:;ed Units:
,Census '0bd~; Dqe's}nb~fa~i~9on' Uti/It
' .~ t:J5?_(lC~ .!'l- ,I lose rUles are s t ~ J
;; , I"OLLrn::lI' VUI~throu~hbA e ,on.
;a1lino tJ,~~t?~t~/~ COOios of t~ ~~1:091.
.....In.''''.. 'C1Jf chon"":" "U!_'~~::,~cieIAn~,",lo'",~ .'J
.' .,,,,.~,,,p~icf~n)n Utilitl}..w;.e;tp,~'tPne ValuelQuantity
I ";EI~c;tfi~4..d\tr.~'.WOtll
1 0/17/2000 350'5 2
10/17/2000 3505
10/17/2000 3505
Fee Amount.
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
$37.00
$2,59
$1.11
$40.70
$40.70
SPh..dGIFIIELIO l
. , . ~.~ '. . -. '~'. .
. ". ',' '." ..
'" . ,'. f9
;t-'_. .c, :tf"
DEVELOPMENT SERVICES DQBAlflfMePltpoes not reqUl " ,
approval. LOr-
Zoning to"""'" i.,..dJ I
Date ~
225 FIFTH STREET "utllOrized Signature -
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
,/O/..;t C c?Jt/ lC?V/A- L
LEGAL DESCRIPTION
R~/t/tt!~ L)r-vcr tJ~A/C::/(, //gT~/2 U/U:;-:$
~
JOB DESCRIPTION
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
.,.
Address
//
Phon/
~
"
City
~
Supervisor
Expiration
~
'"
Exp' ation Date
Supervising Electric~
Owners NamedA ~ (V\. eB'('fll yt,.c:::t.--..
Address 1.,0 \L. C-rOA,\.J~I1,..\u'c.-J
Ci ty Sp.pci Phone ") l[G::.--k-o~
0\lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
72:~
~---------~------~-----------------
~~!~:
RECEIPT :jj:: '
RECEIVED BY:
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
-ELECTRICAL PERMIT APPLICATION --,
()O -0 15S;;2-g I
-
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
/B.
...
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~-: Items Cost
A.
~~~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwell,ing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Sum
$ 85.00
$ 15.00
$ 40.00
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 $300.0Q
Reconnect Only $ 40.00
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
New, Alteration or ,Extension Per Panel
$ 35.00 3'7
One Circuit )
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00
'$ 80.00 '
volts see "B" above
$ 2 . 00 ')..
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
"'4 "l, r:jJJ
40.00
40.00
20.00
36.00
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